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028-470-010
m( 11 - AP ?8rll?-79 W � FRANK SMA� nAls Swedes F4 Rd., 2 mi. W. of T_R&bi7ns�nM111 -Rd-9- -0rovklle- Permit# 5188- B.E(garage t, MH) VOA FRANK H. SMAW AP 28-17-79 �17, -n-o's Swede s- W.40�f 9- 2 Robinson Mill Rd, Orovilve _LET__ermit# 51-89--74,P,E(util. ELEC. GAS z SUPPOR STRUCTURE REQ. COMPACTION TEST REQ. AP 28-� Permit 4902-75MHI , .7 _10 .CONTR: Kentwood MH Sales, Chi -oto ev- �� ISSUED 9-_2t� - 9' 7_� 8- B06-2264 �Pertnit#I163/� 8B,P,E(2a.dd bath & util. MISCELLANEOUS028-470-010room/conv.priigarrag-e to dwellig/SF) Ag Exempt 11� O=-o-fmc> AG -EXEMPT BLDG 4000 SQ -ET. 28-_�q1663 SWEDES FLAT RPermit #2339-76 AVINA, GREGORY& SUE ESF)B(add covered deck/Sr PeF 0 : C _iR &TRU PO .91 41 028-470-010 05-2307 A V VINA, GREG' SWEDES FLAT RD, BANGOR A Cont: OWNER 2ND DWELLING 5 f-, ID I- 028-470-010 05-2916 AVINA, SUE & GREGA. 1665 SWEDES FLAT Cont: CLETUS GRABER ADD -BASEMENT & MAIN�ORY CN 4= row" t MOTES RESIDENTIAL PERMIT NO. OS -2307 I''� 028-470-010 �.:. AVINA GREG SWEDES FLAT RD, BANGOR ' iCont: OWNER $: 12ND DWELLING I SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ: SPECIAL INSPECTION ITEMS, VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER ,. JOB FINALED (Date) Sionature _. 4=OK 0 - Not OK = Not i: earrcaCl R ® ® ®MES . =Not Ready .&y Date MOBILE HOME UTILITIES (Plans) OK except #'s 1." Zoning Requirements -Setbacks -Easements 2. Sols; Special MH Support Sketch 3. Sewer, Location -Test -Fall -C/O -Concrete i - 4. Water, Location -Test -Easement Needed (Sketch) S. EI ocation-Cle es -G - /Amp Concrete 6- <' on -T rap;-/ /" L'fL P Nat or/ /" L "ftJ P LPG (J3 r 7. Well Clearance & Disconnect 63''Util' Clearance Date Card B-1 Date Card B-1 Date Card B-1 ' Date Card B-1 j Date MOBIV� HOME INSTALLATION (Plans) OK except #'s 1. Anino Reauirements-Setbacks-FasPmPnts 1d! F " gs; Size -Spacing -Marriage Line Ot"Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water, Test -Regulator -Connector 7. Wat and Sewer Connected -C/O to Grade -HD Approval 8. Gd Electricity Tagged T Downs -Type -Installation Cert 0 . Exits; Insp.-Sketch 11. Cert of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) 1. Zoning Requirements -Setbacks -Easements - 2. F gs; S¢e-Spacing-Marriage Line S-Ynlocidng 4. Gas; MH Test -Demand -Valve 5. Electricity; MH Test 6. Water, MH Test 7. Water and Sewer Connected DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 8. Gas and Electricity Tagged 1; Zoning Requirements -Setbacks -Easements 9. Exits 2. Footings; Soils-S¢e-Depth-Spacing-Connectors-Steel 10. License Decals 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 11. Verify #'s with Office 4. Wood Awn.; Posts-Beams-Rftrs-Connectors Shthg-Frg-Bracing S. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures Date Cana B-1 Date Card B-1 Date Card B-1 Date Card B-1 8. Fnng.; Sills-Anchors-Studs-Rftrs-Trusses MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s i 1; Zoning Requirements -Setbacks -Easements 2. Footings; Soils-S¢e-Depth-Spacing-Connectors-Steel 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs-Connectors Shthg-Frg-Bracing S. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Fnng.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Root Shthg-Roofing 11. Ext; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 i Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Sols; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men-Uning 4. Elec.; Receptacles and Lighting, Distance-GFI i 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elea; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elea; Grounding; Equip. w/5' Circulating Equip. -Pool L.ghtg. Boxes-Enclosures-Panelboards-Ins. to Main Conduit [w 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11..Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 = OK = Not OK = Not Applimble = Not Ready RESIDENTIAL (Single & Duplex) rate UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Sols-Elec. Gmd.-/ /" Ftg. Depth 3. Ftg., Garage; Sols-Steel-Elec. Gmd. / /" Ftg. Depth 4. Ftg., Porches & Decks; Sols -Steel-/ /" Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fa(I-Frtting-Test-2 Way C/O -Sewer Test 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test it. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventlation 16. Insulation Date Card B-1 Date Card B-1 Date Cana B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 17. Water Htr.; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection 19. D.W.V.; Test Fittings & Anchor -Nal Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors 23. Fire Sprinkler, Test 71. Fireplace or Stove, Clearance -Hearth Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 24. Fixture & Transformer Clearance -Ins. Protection 25. Elec. Receptacles Spacing -Lights & Switches at Doors 26. Size Boxes & No. of Conductors Stapled 27. Romex Installed Close to Edge of Studs & C.J. 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water. 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI 30. Subfeed Wire Size/ /ga. Cu or Al -AC. Wire Size/ /ga Cu or N 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al Insulated Neutral 0 Yes 0 No 32. Service -Riser Conductors & Ground Main Disconnect 33. Equip. Clearances Panels -Motors -Meth. Equip., 34. Clothes Closet Light -Shower Light -Spa Light 35. Smoke Detector 86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 36. A.C. Ducts Insulation & Support 37. Vent Fan, Exhaust above insulation 38. Condensate Drain & Overflow, Size & Grade 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet 40. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s Date 41. Sills Proper Materials & Anchors Date 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound Comments at Final: 43. Bearing Walls over Girders & Floor Nailing 44. Draft Stop in Walls (rat proof) 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 46. Headers & Beams -Size & Bearing Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Ging. Joist-Rftr. Ties-Purlin-Roll Brac: Truss-Shting.-Rtng. 49. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdrm. Windows or Exiting Doors -Sill Ht & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext Doors -One T -Check Garage 3rd Story; 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Naffing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underfk Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; NarTing-Bolts 61. Brace Interior/Exterior Wall Panels 62. Insulation-Walls-Ceflings 63. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 64. Ext. Steps -Door & Sidelight Protection -Landings 65. Smoke Detector 66. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 67. Bedroom Exiting 68. G.F.I. & Bath Fixtures & Tub Access -Spa 69. Elec. Trim & Subpanel, Breaker Sizes & Labels 70. Stairs & Rails 71. Fireplace or Stove, Clearance -Hearth 72. Elec. Outlets at Wood Panel, Int & Ext 73. Kt. Fixt & Appfiance; Ground -Air -Gap -Cooking Clearance 74. Elec. Outlets & Receptacles at Kt Counter 75. Garage Fire Door, Swing -Landing -Closure 76. A.C. Duct in Garage -Damper 77. Wtr. Htr ; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor -Meth. Protection 78. Plb.; Elec. & Mech. Equip. Listed for Location 79. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 80. Insulation -Foam -Looked in Attic 81. Guard Rails & Deck Construction -Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor 0 Yes 83. Following h AdJOTive 0 Yes O No/Walks D Yes O No/Planters 0 Yes 0 No 84. Stucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Water Well, Disconnect, Electrical, Plumbing 88. Exterior Elec. Trim, G.F.I. Receptacle -Underground 89. Ventilation Throughout House 90. Glass Protection 91. Corrections from Previous Inspections 92. Gas Test -Meters Tagged, Gas -Electric 93. Water & Sewer Connected -C/O to Grade -HD Approval 94. Energy Compliance Certificate -Other Certificates 95. Address Posted 96. Fire Sprinkler Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: Institute for BuildingTechn6logy and Safety September 27, 2005 Andrea White Subject Vicatl fo HUD Tbel�Nuanbers_CAL-226868="and CQL2258� 6 The following information is provided pursuant to authorization by HUD. According to our records, the subject HUD label numbers were attached to a home built by Com.modore/Bayshore Homes, Woodland, CA completed 09/22/81xth_seria =nu --bmli 1RF3498A/B and shipped to K. -T Enterprises, Reno, NV. This letter is not issued by the FHA mortgage insurance program for manufactured housing. If ,you are interested in learning more about FHA's mortgage insurance requirements for manufactured. housing using this certification rather than a HUD label, you should contact your regional Processing and Underwriting Center at the HUD Home Ownership Center (HOC) administering the FHA mortgage insurance program in your area, or at www.hud.gov. Pam Brillhart Label Department Team Leader IBTS Contractor to HUD (703) 481-2010'(direct) (703) 437-6894 (fax) 505 Huntmar Park Drive, Suite 260, Herndon, VA 20170 - (703) 481-2000 - Fax: (703) 487-6922 - www.ibts.org A not -.for-profit 501(c)(3) corporation BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 PERMIT NO. BP052307- PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE, OR IF WORK IS DONE IN VIOLATION OF ANY COUNTY OR STATE LAWS. LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under Issued Date: 11/30/2005 APN: 028-470-010-000 provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. Site Address: 1663 SWEDES FLAT RD BAN License License Number: *Class: Map Index: Date: Contractor: Description: MH PERM FND NEW 2ND DWELLING (1056) OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors' Stale License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a Owner: AVINA, GREGORY AND SUE permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a 1665 SWEDES FLAT RD signed statement that he or she is licensed pursuant to the provisions of BANGOR, CA the Contractor's State License Law (Chapter 9 commencing with Section 95914 7000) of Division 3 of ihe'Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any 530-679-0735 violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Applicant: AVINA, GREGORY AND SUE Code: The Contractors' State License Law does not apply to an 1665 SWEDES FLAT RD owner of property who builds or improves thereon, and who does himself BANGOR, CA such work or herself or through his or her own employees, provided that such improvements are not intended or offered for 95914 sale. If however, the building or improvements are sold within one 530-679-0735 year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does Contractor: not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). ❑ 1 am Exempt under Article 3 of t Business and ProfZssions Code Ll Date: _0_ wner: �! License #: WORKERS' COMPE SATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit Architect: is issued. Engineer: ❑ I have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: Total Square Ft: 1056 S.F. Policy #: Valuation: $68,640.00 all", certify that in the performance of the work for which this permit is Census Code: issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply provisions. 2with jthose Date: ✓ V Applicant: WARNING: Failure to secure worker compensation coverage is unlawful, and shall subject a($100,000), in addition to the cost of employer to criminal penalties and one hundred thousand dollars ( i� / compensation, damages as provided for in Section 3706 of the Labor C code, interest, and attorney's fees. / CONSTRUCTION LENDING AGENCY This permit is hereby Issued underpplicable provisions of the Butte County Code and/or I hereby affirm that there is a construction lending agency for the Resolutio to do work irtdicated Bove for which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.)„�— 4, Name: Date: PERMIT EXPIRES ON: Date Address: ❑ I hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any fficial form or document Y6ulte County. I hereby authorize representativ�s-of Butte County to enter pon the above mentioned property for inspection purposes. 11- 0 6-7a Print Name: I //((� a _J _ 1%/�Z Signature: /, � J G 4 J Date: I l lJ V ❑ Owner ❑ Contractor S Agent for Owner 0 Agent for Contractor BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 591-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION Website: www.buttecounty.net/dds "PLEASE PRINT CLEARLY" APPLICANT INFORMATION OWNER INFORMATION Name Last Name Address First Name r Address S S e -de -3 Zip City E-mailC>,',W9ns6Nurabef State,.,,�A Zip Phone _ I Fax(����/ E-mail '01,5's APPLICANT INFORMATION CONTRACTOR Name City ,i% Address Zi wq1// City State State Zip Phone E-mailC>,',W9ns6Nurabef Fax E-mail Planner Lic. # Class APPLICANT INFORMATION ARCHITECT/ENGINEER Name City ,i% Address Zi wq1// City State Zip Phone Fax E-mailC>,',W9ns6Nurabef Page APPLICANT INFORMATION Name e Address /_� (.C� City ,i% State Zi wq1// Phone([]Fax (2 E-mail M• For office use ly: Zoning erf dress SGvG�G G�f Flood Zone Cross Street /f SRA I )As No Occ. I Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS K:\FORMS\BUILDING FORMS\BldgApolSubRgmts.doc 1I PERMIT NO. 65.2-307 BP : I BIN ff PROJECT LOCATION Ali# X 7, q 70 0/0 erf dress SGvG�G G�f QW9 (UGj14'OI Cross Street /f WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address Page 1 of De criptio or Scope of Work: L 7l �O l�L0 vim, 2 Cn Ir 4 Sq FT- Living X05(2 Gara a Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be required. REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Received by: Amount: Receipt #: q6 6LP9 Dater D 6 r q�? SRA Sheriff SMIP Other REV 8-12-05 r SUBMITTAL & PERMIT REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK. ❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper! ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. Engineered truss details and layouts in duplicate (if required). No faxes! ❑ 4. Energy compliance design and supporting documentation in duplicate. ❑ 5. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. , ❑ 6. Manufactured homes: (A) Installation manual, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate ❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the en ineer. ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required). ❑ 9. Site plan and business license approval from the City of Biggs. ❑ 10. Letter of intent for non-residential buildings. ❑ 11. Building Permit Application Without Required Clearances Form ❑ 12. Hazardous Material Form (for Commercial Buildings only). Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning review (May require additional plan review upon receipt of the following items.) ❑ 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required). ❑ 2. Impact Fees. ❑ 3. California Department of Forestry plan approval (if required). ❑ 4. NPDES Form. ❑ .`% 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 6. Contractor's license information. (Number, Name Style, Classification). ❑ 7. Worker's Compensation Carrier and Policy Number. ❑ 8. Owner -Builder Verification (if required). ❑ ,,--9. Letter of Signature authorization (if required). _ ❑ 10. Recorded copy of Agricultural Acknowledgment Statement. ' < ' ❑ 11. ❑ Legal description from current recorded grant deed, ❑ Copy of M.H. Title, Title transfer, or MCO. ❑ 12. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, please contact a Permit Assistant at (530) 538-7541. ` EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS -_ - . - Refunds can only be made upon written request by the person who paid the'fee., The request -must be'made.within two years from the date of fee payment on permits not issued, and two years from the date issued; however, on issued permits refunds can only be made if no construction work has check fees for work plan checked and other department costs are not refundable. OVER FOR BUILDING PERMIT APPLICATION of permit issuance for permits been done. Filing fees, plan KAFORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 8-12-05 COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: &C t' \G�' ASSESSOR'PARCELNUMBER 0, 1 Y-1 U- U 10 ':::�7K Proposed Building Use: Y*4 t '(\ Permit Technician: 'Date: Items required in order to apply for a permit. All'boxes MUSLb checked OR marked NA in order to pply. 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxesl ❑ 5. Letter from Engineer or Architect for truss design review. ❑ 6. Energy compliance design and supporting documentation in duplicate. ❑ 7. Statementof Intent for N .o_beated-and-AdCJof on -Residential -Buildings. 8. Manufactured homes, (A) Installation m nual/, including arriage line info Floor PlaIlo,�_ Tie down or fnd plans, all in duplicate. ❑ 9. Metal bldgs: (A) Metal Bldgfdans; (-R)-Fnd-ptanca cs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate. ❑ 11. Letter of intent for non-residential buildings ❑ 12. Hazardous Material Form ❑ 13. Acknowledgement of building permit application without required clearances. ❑ 14. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) 15. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable ❑ 16. Fire Sprinklers......................................................................................I..... .bl 17. - Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ 18. Soils Report and/or Engineered Foundation required ........................................... ❑ . Erosion Control Plan Required........................................................................ 20'Fees as shown on the attached Schedule of Fees Due Sheet .............................. ❑ 1. City of Chico Plumbing permit........................................................................ P ❑ 22. Site plan and business license approval from the -ity of Biggs .................. �......... ,`s 23. California Department of Forestry pIan approval paid. Sent by: 24. Planning approval for (A) Use: 4B)Parking: (C) Parcel Check: .... ❑ 25. Contact Land Development about _ Improvements, _ Drainage ........................ �L7 26. NPDES Form...........,.................................................................................. ❑ 27. Encroachment Permit for driveway from the Public Works Dept ........................... ❑ 28. Contractor's license information. (Number, Name Style, Classification) ................... ❑ Worker's Compensation Carrier and Policy Number .......................................... 3 .Owner -Builder Verification (_Given to owner, Mailed to owner) ..................... etter of Signature authorization................................................................... Recorded copy of Agricultural Acknowledgment Statement ................................. ❑ 33. Existing violations and expired permits......................................................... ❑4,47. D ed Restriction........................................:.............................. ................ Legal description, M.H. Title, title search, registration orM1=0......................... - -6S Other: 4 o c - 30-1 5 Other: When issued Telephone (.D'1G • b $q O and hold for pickup. I I have been informed of the above items and requirements for obtaining a building permit. ApplicantwR,E2J e - C� �'' Date: 605 1. Index permit application for ov m a e Plan Check Lever 2. Additional items requi In Contractor, design , o vis of h a phone, ❑ mail, ❑ counter, by Date: Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Contractor, designer, owner, was advised of the abovg d to b ❑ phone, ❑ mail, ❑ counter, by Date: Plans reviewed by: j b Date: 11 15 �o Plans approved by: 10 Date: q9 Structural reviewed by: Date: Structural approved by: Date: Note transfer by:, Date: Yellow: Building Division E.H. USE ONLY F402 Plan Anachad Raw Man Anachad r`Sant to S.D. -/ : • TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance Owner Location AP# Plan Approved for: Sewage Disposai--, Water SuppI Pub c . Private Well Clearance for dwelling. Other `� 6 d2��8�,2�� �/�/� —sl, Civ G Hold final for: Final clearance O.K. for: NOTE: Environmental Health Specialist 8/96 Date COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE, CA 95965 PHONE (530)538-7541, FAX (530)538-2140 SCHEDULE OF RECEIPT OF FEES Website: www.buttecounty.net/dds OWNER PROPROSED BUILDING USE 1. BUILDING PERMIT FEES -- Balance Due ..................... $ ✓ ' " l `f --- FEMA Flood elevation review ... $ --- Additional plan checking Fee.... $ 2. SCHOOL DISTRICT FEES (paid at School District Office) (form available after Check) �Sa, • o b 3. SHERIFF FEES (paid at Building Division) Commercial (sq. ftg.)..... X $0.03 = $ Sq.Ftg. ,,' / 4. RECREATION DISTRICT FEES � e UL°N (paid at Recreation District Office) (form available after Plan Check) 5. RESIDENTIAL DEVELOPMENT IMPACT ES COUNTY WIDE (per dwelling) $ CHICO URBAN AREA (per dwelling) $ EL MEDIO FIRE DISTRICT (per dwelling) $ NORTH CHICO SPECIFIC PLAN (per dwelling) Zoning 6. SRA FIRE INSPECTION AND PLAN CHECK FEE $204.98 (paid at Building Division) A.P. # Off ' 410 - 010 DATE b RECEIPT # DATE REC. )mss/-3nos pa /6. )wq �s -)�-P 7. WATER TENDER FEES BATTALION # $200.00 (paid at Building Division) 8. SMIP �' u� V 1 7P 9. DRAINAGE FEE 10. OTHER 11. OTHER At time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. These fees may be changed durir)g the plan checkipq process. APPLICANT UZ- — DATE �� � Pursuant to Government Code Section 66020&u are hereby notified that items, 2, 3, 4, 5, 6, 8, 9, and 10 above may have been imposed on your project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a). Original -Building Division Yellow -Applicant Pink -Owner (rev. 7/05) Department C n I n t V J. Michael CrUMP, Director of Public .a f B U t Works LAND DEVELOPMENT DIVISION Storm Water Management Program 7 County Center Drive Oroville. Ca 95965 (530) 538-7266 (FAX) 538-7171 National Pollutant Discharge Elimination Systerl� (NPDES) Phase Il Construction storm Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgement (LESS 7"HAN 1 ACRE Project Description: �'eeo� Wel � �G,� l� �G►�P /'2 Protect Location and/or Parcel Number: --1�� � c cl eG't �.r l � —t , 0 cS�/ -(-/ 70 1 By signing below, L the project ownerlowner's agent, certify that this project WELL NOT DISTURB 1 acre or more of land and that L therefore, do not need to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board.- Phased projects that contain multiple site build -outs of less than one acre but when combined with subsequent phases total more than one acre of disturbed soil will require a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. I am aware that submitting false and/or inaccurate information or failure to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board for a project.* that disturbs one acre or more of land may result in revocation of grading and/or other permits or other sanctions provided by law. Signed: Title: Date: '� U �y 9 . �� ;,rizb ����'�a(S, to .c ..Y � r',YR� `•>�;;�,�,^.„��I`�•t �,���,',�'�'t�,..'''d..,^t '-�` �-iz•,�`.�r. 1.,�: Attention Property Owner: 6 If -7d o ib An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No"building permit will be issued until this verification is,received. 1. I personally plan to provide the major labor and material for construction of this proposed property improvement: YES i�`.!j Butte County Department of Development Services ADMINISTRATION * BUILDING * GIS * PLANNING 7 County Center Drive Oroville, CA 95965 (530) 538.7541 Telephone (530) 538-2140 Facsimile , .s. �.w,.i+ .u�E":=%Room u.=.''4'-.. . s`i fiE"'�`:a'ia„.Y,c:i6:..:`':::.i:rS.- t P ¢ Y � tp' ,t h• W,�I�wE�RBI��I�L�R���Oa. Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of the property improvements specified. For your protection you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that your plan to subcontract, you should be aware of the following information for your benefit and protection: o If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $200 or more for the entire project' and such persons are not licensed as contractors or subcontractors, then you may be an employer. o If you are an employer, you must register with the state and federal government as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers' compensation insurance, disability insurance costs, and unemployment compensation contributions. o There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to workers' compensation insurance. o For more specific information about your obligations under federal law, contact the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under state law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner -builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contacting the Contractors' State License Board in your community or at 1020 N Street, Sacramento, California 95814. Please complete and return the enclosed owner -builder verification from so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. i6� C. Vieiri C.B.O. Building Inspection NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. ffootloln ZOOS nu/77,6� L/),,�-.�70 l �� Harz oy 9 z i BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One form per Building) w, / 0 a3v School District CX-vV I kk, Building Department No. A.P. Number C7 •tet 'y �(� Jurisdiction: city County Property Property Owner AV 1 t \c-1-• � UK_5 � (� Property Location/Address 'Eq yvp Subdivision Lot No. Residential Development Q Q Q Sq. Footage No of Living Mobile Home Addition/ 'Supplemental to (Group. R) Units Installation Conversion Permit # •(NO foundation inspection) :........................................................................................ Deed Restricted Sq. Footage (Attach a signed copy of Deed Restriction and Notice of Limited Use Facility document) Commercial/Industrial 0 Sq. Footage New Addition (Including Exterior R fed Areas) Building Department Represer[tatirve Date Identification No. 0600 41 District certifies that (State) has complied with the requirements of Resolution No. V S- 9c) /I 0S (0 square feet. . School District Representative Paid by Check # /10-7 Remarks: 1))A'a (Applicant) &79-- 0890 (Phone Number) 9S-� I � (Zip Code) by payment of $ �S .. YV B 2926 $ ULL MITIGATION $ b� bSr Date Notice: You may protest the Imposition of the fees Identified above by submitting a written protest to the District, In compliance with Government Code Section 66020(a), within 90 days from the date fees are paid. Fallure.to submit i timely written protest will prohibit you from challenging the Imposition of the fees In any court action. I If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project Is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to additional school fees to fully mitigate Its Impact on the school district's schools. White (school district), Yellow (building department), Pink (applicant) feefo m.xls (305Wftm BUTTVOEATHER UNTY DEVELOPMENT FEE CERTIFICATION FORM[ RIVER RECREATION AND PARK DISTRICT (FRRPD) ❑ CHICO AREA RECREATION AND PARK DISTRICT (CARD) 0 PARADISE RECREATION AND PARK DISTRICT (PRPD) ❑ DURHAM RECREATION AND PARK DISTRICT (DRPD) Assessor Parcel Number (s) Building Pen -nit Number. US X361 Property Owner (s) t�- Project Location /Address W S Ci &Clr( I Subdivision Name Assessable Sq. Ftge (U b Type of Residential Development (check one) New Development Single Family -Detached Single Family -Attached Alteration/Addition(s) Non -Residential to Residential Multi -Family Dwelling Mobile home Mobile home replacement verified by Assessor Department Demo Permit (date issued ) verified by Building Department Comments: Building Department Rekr' sentative Date 0 FWD ❑ CARD ❑ PRPD 0 DRPD certifies that: Applicant Name Phone Number % e ! C� , 460 - Mailing Ad rens ch Sta e Zip Has complied with requirements of the Butte County Board of Supervisors Resolution No. by Payment of: Dwelling Units @ $ Square Feet @ $ _ Remarks: per unit for a total of $ S 28 UP per sq foot for a total of $ Paid by Check No: Lo Paid.by Cash: Receipt No: and Park District v.—n XV%nI TIT Tn.11'_ =nD� AM --a. -e,.-4—A F...-. —, 1 linr. CDF FIRE SAFE REQUIREMENTS AP# 028-470-010 PERMIT # 05-2307 NAME: Avina Under authority of Public Resources Code Sec. 4290, the following checked items are required by the Butte County Fire Department and made a part of this permit. These requirements are minimums and may be superseded by Butte County local regulations, which equal or exceed these standards. Butte County Building Inspectors will make compliance inspections. Driveway Standards pq Surface. All driveway surfaces and structures (bridges, culverts and other appurtenant structures which supplement the roadway bed or shoulders) shall provided unobstructed access to conventional drive vehicles, including sedans and fire apparatus weighing up to 40,000 pounds. [X] Grade. Not to exceed 16 percent unless paved. Driveway Radius [X] No roadway shall have a horizontal inside radius of curvature of less than 50 feet and additional surface width of 4 feet shall be added to curves of 50-100 feet radius; 2 feet to those from 100-200 feet. F [X] The length of vertical curves in roadways exclusive of gutters, ditches and drainage structures designed to hold or divert water shall be not less than 100 T feet radius. K [X] Turnarounds. If required, will have a minimum turning radius of 40 feet from the center of the road. [X] Turnouts. Shall be a minimum of 10 feet wide and 30 feet long with a minimum 25 -foot taper on each end. [X] Width. All driveways shall provide a minimum 10 -foot traffic lane and unobstructed vertical clearance of 15 feet along its entire length. [X] Turnouts. Driveways exceeding 150 feet in length, but less than 800 feet in length, shall provide a turnout near the midpoint of the driveway. Where a driveway exceeds 800 feet, turnouts shall be provided no more than 400 feet apart. Gates [X] 1. Gate entrances shall beat least two feet wider than the roadway they serve. 2. The gates must be located at least 30 feet from the roadway and shall open to allow a vehicle to stop without obstructing traffic on the roadway. 3. Where a one-way road with a single traffic lane provides entrance, a 50 -foot turning radius shall be used. Q U I R E M E N T S Setback for Structure Defensible Saace C [X] Maintenance of Defensible Space. To ensure continued maintenance of D properties in conformance with these standards and measures and to assure continued availability, access and utilization of the defensible space provided for r in these standards, annual maintenance must be provided for by the landowner. �+ [X] 1 . All parcels 1 acre and larger shall provide a minimum 30 -foot setback for buildings and accessory buildings from all property lines and/or the center of the road. r r [] 2. For parcels less than 1 acre, local jurisdiction shall provide for the same practical effect. See "Other Requirements below. T 1 [X] Disposal of Vegetation and Fuels: Disposal, including chipping, burying, burning or removal to a landfill site approved by the local jurisdiction of flammable vegetation and fuels caused by site development and construction, road and driveway construction. Disposal shall be completed prior to completion of road construction or final building permit inspection. E Other Requirements [ ] If Building Setback is 15 to 30 Feet: ✓ Class A roof R ✓ Enclosed eaves [ ] If Building Setback is Less Than 15 Feet= E ✓ Class A roof with enclosed eaves and choose any 2 of the following: l�Cl ❑ Metal or no doors on side toward property line with insufficient setback ❑ Interior automatic sprinkler system per NFPA 13D T T ❑ Glass area not to exceed 10% of wall area toward property line with insufficient V setback ❑ Siding from the following list: T o Stucco — 3 coat 1 o Har'di-Board or Plank o Masonry o Masonry Veneer o Metal o Other Butte County Fire Department approved materials M E N 09/07/2005 Darren Read Date Signature C'� Hca J V 611 � l61 -All L.J i A � � 'T --q ' V I it 'tt BUTTE COUNTY BUILDING DIVISION APPROVED W Sk 7- .K-' 3 'Ice 9 F 2% 2"x 3/16" 3/8" CAD PLA -ED BOLT, NUT Ec WASHER COAL i "C" FRAME STEEL ANGLf COUNTER BORED FLUSH WITH 30TTQM COACH "J' FRAME AT e" D.C. (8) REQUIRED 2" CHANNEL " w _ 1 /4" GRIPPER f/4"x1-1/4" PLAT£ TEK STS �- 1/4- STAND BASEEL TEK ST.'S j�La (4) RZQUIREO r ,,- ABESCO ABS PAD #503 (2) REQUIRED N m N Lo m m m �o CD DETAIL "Al CHASSIS FRAME 36" MAX 1/4" GRIPPER PLATE TO BOTTOM (2) REQUIRED � OF PAD 1/4" GRIPPER BASE a C.R. 1/2-13UNC-A307 x 4" LOCK PIN WITH BOLT WITH HUTS 101/8" BRIDGE (4) REQUIRED PIN 01 I/2" SCH 40 PIPE' RISER WITh' o 01/2" ADJUSTER HOLES AVD 3/B" TIHCK TOP PLATE 02" SCH 40 PIPE S!#503 ND WITH TWO J 01/2' ADJUSTER HOS ABESCO ABS PAD ��eSTEL FFAE.L-\ SEE DETAIL "A" 37" 18 1f2" 1/4." GRIFPER BASE 1/2" A307 Batt (2) REQUIRED 3/8"x 6'x 6" STEEL PLATE 1/2" A307 BOLT C -BEAM (2) REQUIRED ATTACHMENT 10.00 —tet o 0 10.00 W 09/16 HOLE (TYP) STAND BASE TO P VIEW 17918 �lT ��OF 1sY K TUF--1 PERMANENT FOUNDATION SYSTEM ABRSC"US GUARD COMPANY 5881 FLORIN - PERK M ROAD SACRAMENTO, CA 9582 3 PH: (800) 382-8831 FAX: (916) 383-5207 1/4" GRIPPER BASE 1/2" A307 BOLT (4) REQUIRED J—BEAM ATTACHM= N7 DIA. BOLE (8) PLACES $ $ $ STEEL FRAME TOF VIEW S A C -' . �R0llITi0�110'11fi - ::� x�o'1rs�t>QO�ett�aT,ert'nal�el�u�K ..�q: •. � DBHAl10LI F1lOtAE � a►coonAND r `_ WAYNE 7. POLVAUO, PE—LISTING NO. F94249 SHEET i of 3 to X) n D n GENERAL NOTES GUS GUARD TUF-1 DE=GN WADS s LIVE LOAD - 30 LB. FLOOR LIVE LOAD - 40 PSF WIND LOAD - 80 MPH EXPOSURE 'C" SEISMIC ZONE '4" *SNOW LOAD 100 PSF (SE£ NOTE 11115) 2.. THIS FOUNDATION SYSTEM IS DESIGNED TO BE CCNSTRUCTED ON A FAIRLY LEVEL SITE WITH NO EXISTING SOIL PROBLEMS. 3. CHASSIS BEAM SUPPORTS SHALL BE LOWED AND SIZED FOR THE LOADS AS SHOWN IN THE `MOBILE HOME INSTALLATION INSTRUCTIONS". �. IN AREAS WHERE DIFFERENTIAL SETTLEMENT (D.S.) CAN OCCUR, MANUFACTURED NOME SHALL BE READJUSTED WHEN DS EXCEEC•S I/4". OR, WHEN IT WJLL ADVERSELY AFFECT MOBILE HOME UNIT, 5. CARRY ALL FOOTINGS DOWN TO FIRM, UNDISTURBED SOIL FOOTINGS ARE DESIGNED FOR 1,000 PSF TOTAL LOAD SOIL PRESSURE, AND SHALL BE COVPATIBLE WITH LOCAL SOIL CONDITIONS. COMPACTED SAND MAY BE USED TO FILL LOCAL VOIDS UNDER PADS. E. STRUCTURAL STEEL: FABRICATED ACCORDING TO A1SC SPECIFICATION. WELD ACCORDING TO ASIS SPECIFICATIONS. ELECTRODES -370 PLATES -ASTM A36 BOLTS -SAE GR 5=ASTM A449=ASTM A3725. 7. THE 'CUS GUARD ASSEMBLIES SHOWN ON THIS PAGE SHALL BE LISTED AND LABELED BY FISK AND A4SOCIATES FOR THE FOLLOWJNG LOADS: ALLOWABLE LOADS, HORIZONTAL VERTICAL G'JS GUARD TUF-1 2200,E 6000# GUS GUARD MGP PAD 22001 6000# GUS GUARD E -Z TIE PAD 22001 6000f S. DURING PREUMINARY INSPECTION, THE ESTIMATOR SHALL ENSURE THAI; MOBILE HOME CHASSIS BEAMS ARE OF STANDARD SECTION. 9. EXISTING COACHES LMAY BE RETROFITTED TO RESIST SEISMIC FORCES BY INSTAWNG GUS GUARD TUF-I LNITS AS SHOWN ON- TH[S PAGE OF TYPICAL FOUNDATION 'TANS. 1 Q THE CUS GUARD TUF-I SYSTEMS ARE SAFE FOE INSTALLATION IN FLOOD PLAIN AREAS WHERE DEPTH OF FLOODING DOES NOT EXCEED THE HEIGHT OF THREE FEET. 11. MULTIPLE UNIT INSTALLATION IS ACCEPTABLE PROVIDED THE NUMBER OF TUF-1 UNITS UNDER EACH UNIT IS THE SAME AS SHOWN REQUIRED PER EACH UNIT. 12 SINGLE -WIDE UNITS REQUIRE ADDITIONAL RESTRAINT. - (SEE SHEET 13)'..i 13. ALL KETAL COMPONENTS .IND ATTACHMENTS ITE44S SHALL BE PJ'OTfCT1YE COATED. 14, WHEN CONCRETE SLAB IS IN E{ISTANCE, PAD IS NDT 16. FOUNDATION FLOCKS 16'x 16'x12" POUPEO IN PLACE AT GROUND LEVEL WAY BE USED AT IASTALLERS DISCRETION ALTEPAATTVE i0 PADS. SIYGLE WIDE COACHES QOUBLE/MULTIPLE COACHES E= 2' LAIN. / 8' MAX. r= 2' NIN. j 11' MAX. S= 6` MIN. /16' MAX. S= 6' NIN_ / 22' MAX. VARIES 10'-70' (SEE WILE ON SHEET #3) E�S S �E� S 7E Lj u u ❑ ❑ LlJ RIDGE BEAM SUPPORT AS REQUIRED BY MANUFACTURER a (TYPICAL) ❑ ❑ a E-1 ❑ 11-0 a 8' . NOIR. ANOM. ❑ PADS IN ANY PAIR MAY BE STANDARD M.H. FOUNDATION ROTATED 90 DECREES OR PIERS AS RECOMMENDED BY PVC SERIES OFFSET TO OTHER SIDE TO THE MANUFACTURER OR THE SUPPORT AVOID CLEARANCE PROF -`MS. ENGINEER. TYPICAL THROUGHOUT PAD (TYP) Exp.�aE� 9a OF CA`►.��4 REQUIRED. ANCHOR STAND TO CONCRETE SLAB WITH U1=-1 PERMANENT FOUR (4) 1/2'x 3 1j2' EXPANSION ANCHORS. FOUNDATION SYSTEM 15. GUS GUARD TUF-1 FOUNDATION SYSTEM PROVIDES ALLOWABLE SNOW LOAD TO 1 OC PSF WHEN INSTALLED ABFSCO-GUS GUARD CGMPANY .WITH EXISTING STANDARDS REQUIRED BY COACH 5851 FLORIN-PEPYJM ROAD MANUFACTURER OR REPLACE THEM ON A ONE TO ONE BASIS. SACRAIVIIIIO, Cel 95823 STATE APPROVAL MANVFAC1ML;D RO7dElMOB[T>Bam" FOUNDAIION SYSTEM HBALTRAND SAVE" CODE„ SEC'j= IgM APPROVED 81[J87ECF TO CORBBC7LoM "0= APPQOVAL DOES NOTAtP1 OPM M AP;PRL7 E ANY OMISSIONS CIR DEVIATION FA40MRSQ4Ug4w APPLICABLE STATE LAWS Am) mmea m b'tate ofCriiLFmis of Aocsi�6 Dad Cpm �>•� .. CGDDESAND !t BY /� v SPA 710. v L� / r TJ is Plan Aunroval 77'1 WAYNE T. POLVADO, PE—LISTING NO. F94249 SHEET 2 of 3 N W Q 0_ U Z H 0 0 U] W Co Q 1 v m _ m N . CV L CD 1/2"x 3 1/2" -N EXPANSION ANCHOR . ,4) REQUIRED w'� CONCRETE PAD INSTALLATION CHASSIS FRAME 1/4" GRIPPER PLATE (2) REQUIRED 1/4" GRIPPER BASE 1/2-13UNC-A307 x 4' BOLT WITH NUTS (4) REQUIRED 01 1/2" SCH 40 PIPE RISER WITH 01/2" ADJJSTER HOLES AND 3/t - THICK TOP PLATE 02" SCH 40 PIPE STAND . WITH TWO 01/2" ADJUSTER HOLES ABESCO ABS PAD X1503 � STEEL FRAME 18 l f2" E - Z TIE PAD 3/4" DIA. x 18" LG. 1/2"x 8" LONG (4) REQUIRED ANCHOR BOLT 3/e" CAD PLATED BOLT, NUT & WASHER (4) RECUIRED COUNTER BORED FLUSH WTiH BOT -OM AT 8" O.C. ` (8) REQUIRED POURED IN PLACE 16x16x12 „ONCRETE FOUNDATION INSTALLATION t ti ,1_ . 36" MAX TO BOTTOM OF PAD 4 01/2"x 3" CA. j LOCK PIN WITH 01/8- BRIOGE PIN f 1 LIGH- HEAVY -WEIGHT PLASTIC PAD INSTALLATION MUL77 wmx UK= LENGTH OF HOME 24 VADTH OF HOME I 2 2B I44 UP TO 44 13 I a Ia 12 14'-1- to GVJ 12 1 12 112 18 so' -1" to Sol 20 1 20 20 24 SINGM WEDR UITITS LENGTH HOME 10 WIDTH OF HONE 127 14 . 16 IIP TO 44' 1 6 1 6 dr $ 144--1-to fir 1 8 8 8 8 t' fo 86 10 Z 0 f 10 NUMBER OF TUF-1 REQUIRED NUMBER OF TUF-1 REQUIRED NOTE: SINGLE WIDE UNITS REOURRE (4) E -Z TE PAD'S. GUS WARD TUF-1 PIERS ARE TO BE PLACED AT APPROXIMATELY EQUAL INTER/ALS ALONG EACH FRAME RAN.. Jr Nab 1791 ajdx Exp. �CP4 010i TUF-1. PERMANENT FOUNDATION SYSTEM ABFSCO-TITS CiiIAM CO?"AA`Y 5851 FLORIN - PERKINS ROAD SACRAMENTO. CA 95823 PH: (800) 382-8831 FAX: (916) 383-5207 STATE APPROVAL FCUNDATION SYSTM ANC SAFETYCODTI. S5Cn M WSI APPRDVI D BUBB= TO 0OARBM0N18 NOTED t: 1i' & APPROVAL DOES NOT AUMOR12B DR APPRWE ANY OMISSIOMS OR DBVIA'nON FROM REQUIREMENTS 01 APPL:GABLE *TATE LAWS AND REGULATIONS . .Spite of C111ifotef�... . E< and C-24 Devdv-ad BS AND STA AMD last "y y wpal m) BPA110. f� _ TMs PLanAppmval Exphs / 0d�1.e._lAd WAYNE T. POLVADO, PE—JSTING, NO. F94249 SHEET 3 of 3 d ...w 4s •� ► ,."fit+, N ::,3:.;� « !s IZ�i i6 _ N SITE PLN REVIEW APPLICATION <? � � � 1 U Date: AP# Permit Number (if applicable) '' !- Bin Number APPLICANT INFORMATION Parcel Size: Owners Name: u ') C Owners Address: j br Telephone No.: c � G Email: Situs Address: dP S Proposed Use: Residential ❑ New Single Family Residential . ❑ Single Family Addition ❑ Mobile Home ❑ Residential Accessory Permanent Second Dwelling ❑ Temporary Mobile Home (Aunt Minnie) ❑ Temporary Travel Trailer ❑ Multi -family Non-residential ❑ New Commercial ❑ Commercial Addition ❑ New Industrial ❑ Industrial Addition Other ❑ Single Family Remodel ❑ Commercial Remodel ❑ Industrial. Remodel. ❑ Septic ❑ Well ❑ Agricultural Exempt Building ❑ Agricultural Buffer Form ❑ Applicable ❑ N/A ❑ Other: Brief Explanation (if necessary): o L/, 70 o/d DO NOT WRITE BELOW THIS LINE DEVELOPMENT SERVICES INFORMATION (For Staff Used jj Approved ❑ Conditionally Approved ❑ Resolve Problems Prior to Approval Site Plan Stamped Approved By Date ALL ITEMS CHECKED APPLY TO THE PROPERTY Parcel Is In: ❑ Snow Load Area: ❑ Land Conservation Act Minimum Acreage: ❑ Verify residence can be built per contract ❑ Nitrate Action Plan (See Environmental Health for standards) ❑ Watershed Protection Overlay Zone (See attached standards and requirements) ❑ Expansive Soils (Test for expansive soils and if verified proper foundation design required) is SRA - (CDF to determine specific requirements) ❑ 100 -Year Flood Plain: (See atiac ed) o Flood Zone: Flood Panel No.: 0600-7L'( 6C� Index Date: ❑ Sacramento River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ Feather River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ North Chico Specific Plan (See Development Fees Section and attached standards and requirements) ❑ Chapman/Mulberry (See attached standards and requirements) ❑ Cohasset Area (See attached standards and requirements) ❑ Grading Zone (See attached handout) ❑ Oroville Enterprise Zone Use Requires: ❑ Use Permit ❑ Minor Use Permit ❑ Administrative Permit ❑ Minor Variance ❑ Variance ❑ Detached Building Use Form ❑ Encroachment Permit ❑ Agricultural Worker Affidavit ❑ Agricultural Acknowledgement Statement zoning: / Y ( — Applicable Building Setbacks: 0 Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. Zoning Code Streets & Highways Fire Prevention Subdivision Map Front G , Side �Q 3o' Side Street Rear / 1 3 0 Height Waterway N/A N/A N/A 0 Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. Applicable Development Fees: Standard Fees Amount Formula ❑ Fire ❑ School* ❑ Parks/Recreation ❑ Roads ❑ Sheriff ❑ Drainage ❑ NCSP/CSA 87 ❑ Chico Urban Area — Road ❑ Thermalito Drainage Area ❑ Thermalito Urban Area ❑ Other -------------------------------------- Subdivision Map Special Fees ❑ Water Tender ❑ Road Improvement ❑ North Oroville Area ❑ Other (per map) * Check with school district to verify actual fee if pre -application review. A final determination will be made at the time of the building permit. Parcel Created By Deeds: Date of Creation: Legal Access Provided: ❑ No ❑ Yes Deed of Reference: Legal Access Required ❑ No ❑ Yes Parcel Frontage on Publicly Maintained Road: ❑ No ❑ Yes, Road Name: Complies with County Standards for Deed_ Creation:❑ No ❑ Yes Co X y G ❑ • Parcel Deemed to be legal ❑ Verify Legal Parcel ❑ Verify Legal Access ❑ Provide Deed of Creation ❑ Obtain a Certificate of Compliance/Notice of Compliance ❑ Obtain a Merger ❑ Obtain a Lot Line Adjustment ❑ Comply with Old Subdivision Lot Ordinance (Maps recorded prior to Book 17 of Maps Page 23). ❑ Construct road to: ❑ Meet Parcel size required by zone ❑ Meet current Environmental Health Department requirements - v, Q Subdivision Map/Parcel Map: Map Date of Recording: Lot: Book: ❑ Use PermitJMinor Use Permit Permit Number: Date of Approval: Page: Parcel Map/Subdivision Map/Use Permit Conditions ❑ Comply with the following Conditions of Approval: ❑ Attached ❑ None ❑ Meet the Fire Safe Regulations of Butte County and P.R.C. 4290 ❑ Automatic fire suppression sprinkler systems shall be installed in accordance with the National Fire Protection Association Standard for installation of sprinkler systems in one and two family dwellings and mobile homes, NFPA Standard 13D, unless a pressurized community water system, with hydrants that meet the Fire Department specifications, serves the parcel. ❑ Wood stoves and fireplace inserts shall be EPA approved and designed to meet the emission requirements of the California Clean Air Act of 1988, as amended. ❑ Provide an erosion control plan for building and land disturbance. The Erosion Control Plan must be prepared by a registered civil engineer or other qualified professional and be submitted to and approved by the Department of Public Works. ❑ In lieu of a pressurized water system or water storage tank, payment into the appropriate Battalion Water Tender Fund may be required. . ❑ Measures shall be taken to control fugitive dust emissions from all driveway and other civil construction associated with residential development. Approved dust control measures are found in the fugitive dust control plan for the site approved by the Butte County Air Quality Management District, a copy of which can be obtained from the Butte County Department of Development Services, Building Division." ❑ Engineered foundations are required. ❑ Class A roofs are required. ❑ Property owners responsible for road maintenance, and stop sign maintenance. 47 01 Summary of Specific Requirements: This information provided in this summary is based on the application information and on the best available data at the time of review. CALarrys\Building Permit Site Plan Reviewl.doc i :In-stitute for Building Technology and Safety September 27, 2005 Andrea White Subject: Verification -for HUD -Label Numbers CAL:226868 and CAL226869 The following information is provided pursuant to authorization by HUD. According to our records, the subject HUD label numbers were attached to a home built by Commodore/Bayshore Homes, Woodland, CA completed 09/22/81 with serial numbers RF3498A/B and shipped to K -T Enterprises, Reno, NV. This letter. is not issued by the FHA mortgage insurance program for manufactured housing. If you are interested in learning more about FHA's mortgage insurance requirements for manufactured housing using this certification gather than a HUD label, you should contact your regional Processing and Underwriting Center at the HUD Home Ownership Center (HOC) administering the FHA mortgage insurance program in your area, or at www.hud.g�Ly. Panna Brillhart Label Department Team Leader IBTS Contractor to HUD (703) 481-2010'(direct) (703) 437-6894 (fax) 605 Huntmar Park Drive, Suite 260, Herndon, VA 20170 (703)481-2000, Fax: (703) 437-6432 • www.ibts.org A, not-for-profit 501(c)(3) corporation MOBILE, COMMERCIAL COACH, TRUCK CAMPER OR FLOATING HOME BOND BOND NO.90-S9-9731-0 KNOW ALL MEN BY THESE'PRESENTS: That We, ANDREA WHITE as Principal, and State Farm Fire and Casualty Company a corporation organized under the laws of the State of Illinois, a corporation, authorized to transact a general surety business in the State of California, as Surety, are held and firmly bound unto the State of California, Department of Housing and Community Development thereof, its officers and employees, for the use and benefit thereof and of any interested person as hereinafter specified in the penal sum of FIVE THOUSAND AND NO/100 Dollars ($ 5,000.00) lawful money of the United States of America, for the payment whereof well and truly to be made, we hereby bind ourselves, our heirs, executors, administrators, successors and assigns, jointly and severally, firmly by these presents. - THE CONDITION OF THE FOREGOING OBLIGATION IS SUCH THAT: WHEREAS, the above bounden Principal has made application to the Department of Housing and Community Development of the State of California for the registration of and the issuance of a California Certificate of Title for the following described Mobile Home, Commercial Coach, Truck Camper or Floating Home to wit: 1981 COMMODORE/BAYSHORE HOMES CAL226868& CAL226869 WHEREAS, The said Principal has not presented to the said Department of Housing and Community Development the regularly required supporting evidence of ownership of the said Mobile Home, Commercial Coach, Truck Camper or Floating Home, and; WHEREAS, The said Department has required said Principal to deposit with it a bond in accordance herewith as a condition to the issuance of a California Certificate of Title for the said Mobile Home, Commercial Coach, Truck Camper or Floating Home. NOW THEREFORE, if said obligors shall fully protect, indemnify and save harmless the Department of Housing and Community Development of the State of California, and any and all officers and employees thereof and any and all subsequent purchasers of said Mobile Home, Commercial Coach, Truck Camper or Floating Home and any and all persons acquiring any lien or encumbrance thereon and the successors in the interest of any and all of said persons, against any and all claims, suits, actions, loss and damage on account of any defect in or undisclosed claim, lien, or encumbrance of whatever nature upon said Mobile Home, Commercial Coach, Truck Camper or Floating Home or the right, title and interest of said Principal in or to said Mobile Home, Commercial Coach, Truck Camper or Floating Home, then this obligation shall be null and void; otherwise to remain in full force and effect. THIS BOND IS SUBJECT TO THE FOLLOWING PROVISIONS: 1. That any interested person may, in addition to any other remedy he may have, bring an action in his own name to recover hereon any damages sustained by him by reason of any breach of the conditions for which this bond is deposited and in such shall have and recover costs and reasonable attorney's fee. 2. That the aggregate liability of the Surety above named on this obligation to all such interested persons shall in no event exceed the penal sum of this bond. (Continued on Reverse Side) HCD 480.0 (REV.3/90 FSB-400035CA Power of Attorney STATE FARM FIRE AND CASUALTY COMPANY KNOW ALL PERSONS BY THESE PRESENTS: That STATE FARM FIRE AND CASUALTY COMPANY, an Illinois corporation, with its principal office in Bloomington, Illinois, does hereby constitute and appoint: Mary Allen, Ceola Campbell, Pamela Chancellor, Leon C. Cook, Teresa L. Fewkes, Julie Freed, John Gibson, Christine M. Goben, Christy Herald, John R. Horton, Cynthia Johnson, Susan K. Johnson, Mary K. Kerfoot, Julia Klinzing, Connie S. Knox, G.F. Krawcyk, Christine Macdonnell, Lori McDowell, Melissa L. Morris, Donna K. O'Crowly, Michael D. O'Donnell, James Platt, Vicki Redman, Linda Rieck, Suzanne M. Robertson, Lucinda K. Samford, Alice Schuler, Mary Sieg, Trudy Spence, Heidi Stevens, Cindy R. Swick, Diana Tarter, Perry Tracy, Susan M. Wagoner, Diana L. Watt, Karen Weber, of Bloomington, Illinois its true and lawful Attorneys) -in -Fact, to make, execute, seal and deliver for, and on its behalf as surety, any and all bonds, undertakings or other writings obligatory in the nature of a bond as follows: Any such obligation in any amount This appointment is made under and by the authority of a resolution which was passed by the Executive Committee of the Board of Directors of State Farm Fire and Casualty Company on the 24th day of July, 1974, as is duly authorized by the Board of Directors in Article II, Section 6 of the By -Laws of the Company, which resolution is: Resolved, that the Executive Vice -President or a Vice -President of the Company is hereby authorized to appoint and empower any representative - of the Company or other person or persons as Attorney -in -Fact to execute on behalf of the Company any bonds, undertakings, policies, contracts of indemnity or other writings obligatory in the nature of a bond, which the Company might execute through its duly elected officers, and affix the seal of the Company thereto. Any said execution of such documents by an Attorney -in -Fact shall be as binding upon the Company as if they had been duly executed and acknowledged by the regularly elected officers of the Company. Any Attorney -in -Fact, se appointed, may be removed for good cause and the authority se granted maybe revoked as specified -in the Power of Attorney. Resolved, that the signature of the Executive Vice -President or any Vice -President and the seal of the Company may be affixed by facsimile on any power of attorney granted, and the signature of the Secretary, Vice -President or Assistant Secretary, and the seal of the Company may be affixed by facsimile to any certificate of any such power and any such power or certificate bearing such facsimile signature and seal shall be valid and binding on the Company. Any such power so executed and sealed and certificate so executed and sealed shall, with respect to any bond or undertaking to which it is attached, continue to be valid and binding on the Company. IN WITNESS THEREOF, STATE FARM FIRE AND CASUALTY COMPANY has caused this instrument to be signed by its Vice - President, and its Corporate Seal to be affixed this 14th day of September, 2004. This APPOINTMENT SHALL CEASE AND TERMINATE AUTOMATICALLY AS OF DECEMBER 31, 2007, UNLESS SOONER REVOKED AS PROVIDED. �'a '•. SIEAE STATE OF ILLINOIS COUNTY OF McLEAN STATE FARM FIRE AND CASUALTY COMPANY By: On this 14th day of September 2004, before me personally came William K. King to me known, who being duly sworn, VicJ.6epose and say that he is Vice -President of STATE FARM FIRE AND CASUALTY COMPANY, the corporation described in and which executed the above instrument; that he knows the seal of said corporation; that the seal affixed to said instrument is such Corporate Seal; and that he executed said instrument on behalf of the corporation by authority of his office under the By -Laws of said corporation. "OFFICIAL SEAL." Trudy A, ,Spenoe (�- No" PuDiic, State Of Iufrtois[my � Commissfon.E kis 07mfa$ NotAky Public - - - - - - - - - - - - - CERTIFICATE My commission expires July 29, 2008 I, the undersigned Vice -President of STATE FARM FIRE AND CASUALTY COMPANY, do hereby certify that the original Power of Attorney of which the foregoing is a true and correct copy, is in full force and effect and has not been revoked and the resolutions as set forth are now in force. Signed and sealed at Bloomington, Illinois. Dated this 18TH day of OCTOBER, 2005. 9 t •. 7 � � GpP►OR,� l •'• n i :o SEAE Vice-Pres)ogn If you have a question concerning the validity of this Power of Attorney, call (309) 766-2090. F66 -9043A.35 (11/04) Printed in U.S.A. ACKNOWLEDGMENT OF SURETY State of ILLINOIS County of MCLEAN On OCTOBER 18, 2005 before me, HEIDI J STEVENS, NOTARY PUBLIC Name and title of officer personally appeared SUZANNE M ROBERTSON personally known to me (or proved to me on the basis of satisfactory evidence)'to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies) and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. WITNESS my hand and official seal. Signature (Seal) OFFICIAL SEAL HEIDI J STEVENS NOTARY PUBLIC • STATE OF ILLINOIS ope-L1MmISSION EXPIRES MAR 12.24119 BUILDING PERMITS NUMBER: 05-2307 Address or location of unit: 1663 SWEDES FLAT ROAD, BANGOR CA 95914 Legal Description of Real Property: 028-470-010 SEE ATTACHED (x) Mobilehome/Manufactured Home () Commercial Coach Has been affixed to the real property above by installation on a foundation system pursuant to Health and Safety Code Section 18551. Owner's name: GREGORY AND SUE AVINA Owner's address: 1.665 SWEDES FLAT ROAD, BANGOR INSIGNIA OR HUD NUMBER: CAL226868/9 SERIAL NUMBER OR V.I.N.: RF3498A/B MANUFACTURER'S NAME: COMMODORE/BAYSHORE HOMES YEAR: 1981 OFFICIAL APPROVING INSTALLATION: —71414 '0 V16;� DATE: 5-2-2006 PHONE: (530) 538-7541 H.C.D. 513C ��e No. 415268642 BankofAmeriea �' Cashier's Check R' \`,EtSHPfiBMBSR X20„�OA��' ;�' f ,� \ray In,thee'4rnCthisclikckislps.�:nC95placedo�stolFh aspomrr�` F ��i� \ Jj'{' r •iIJoticcio'urc�lpsq�- A� gdwiU'liereuiFed'pnof[o,rep�ace�Rent s. y..;,i• ::D9fe,, it }7 lrr!.. �;. "ji� r i' �� ,r��ji `'i1�C{d fit% ';state4,en,;and9,%l a43itd�s%n ;q trate th t�AO, e. t �' :f / `i rt.� r. ` fi 4� }. \ a .., "+.. _ .,o•:js,� Theckshouldtfeeg6 \'`v� &C” r {,k i�pa , _r r a.`\j fii �'``.�y'`J'•✓ w;r ,}\, 1,�i7�h� J. "`�' '� /r+ V•� , +ori i. '•.r ;l.tr i(Y '�i I' 3 '�;> ,i•. 1'c :'�` �LD ��7r/�-�. �.CeplCt g1LR0Y 'Y ; �, ....... "7p ..[✓. «,r. IIa/ VFt i,i' �. 4"i :,,'�. C..'•.%;�.`4_ ♦ \..:a'' \ ;,fi r G?7rrr pe'� P S "!: •t•' - ,t`�,•' 7 . =`ti `�c\.`�< �:�, •.�. w ::,�.,'``' ' 'SHBRBQOD,::SH$D$'- . � �d011b9 "OOUOS �j 0aS26864 , ,, r� � r•.0 f: ," }r UP f e t � �t I� ;<-_ � . zfl � � <. � r' ` DDeII71t[ r�PIU'tCh7i.Se�By) \`,�,Y�M' h•� r" �?.: a}�k Yc2 QO�* IL �+/ ' qq ,L M � "`✓' a O . i•�.,�//Si. �: `./ � t" ;+�77ei+'!2� A' r �.. $ '� \ � C ♦ '` "\\ 7 0yY• S7 4 wf<..3f9i/ ' � r�C r4 S/ ` - ., .`,.i// r /��,"`. .y. '' •/ ~ .n \ e! ., iS ` {fj'h' 1 �y1 ''� IND-:•'Pay r i ,,, '�, +��, �;� { t+.'� i; 1 � 4 ��a �, - ,;.-�,,.,s lr � i �. y SE Tp r rrr / ?t r. 1 e'Y' ° -�%�'' r �, 11. • + �+%' i,^' r - .:�,. t+t. r ../, / >. _ -"� ;7Li ,i7+i` ✓,r•. r - -e IS �" \ `r / /r �.� jr � C. � .;The r �.s !lHCD!! - ! � < r .a �dtr / t,�r �,1 J,r•- l ��\-�:: -j .•: .-. / r f� y .. � .in'�O[deI'�� t!!X!'\ ',.' �\\ ��yy ..,^t/ S ./� - � i �✓Ff +ter//"t •- S; �-' L r 7 S i t.. s -, r r :. '�,. Jr�h ��7 ��5 '` r.tP y°i,?: \ # ... �y Authol7zedS7 UIe + _v 4/e+ '` "`'^ .r i'f`i �i %E e`. Bankof "erica N A t n �. , • it t �,, <. � San Francisco CA .. �. R... .. `v. r!r:t•.. _ n'4 L5 26864 2112. 2 10003581: 139701618507611' THE ORIGINL° ADOCUMENTtHAS REFLECTNE;WATERMARK ONtTHE BACK'MM-- THE.ORIGINAIDOCUMENT;HAS REFLECTIVE WATERMARK ONcTHE BACK FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, Richard P. Smaw, Successor Trustee of the Smaw Living Trust, dated November 14, 1991 hereby GRANTS to Gregory Avina and Sue E. Avina, husband and wife as Joint Tenants the following described property in the unincorporated area of , County of Butte, State of California: 5 e s"c,e r P Ti o) 4 T-76cl-�-i5A Dated: 04/14/2004 (Z 1c1}� �. sN1AvJ suCcr%iZ-�'�� Trustee of the Smaw Living Trust, dated November 14, 1991 Richard P. Smaw, Successor Trustee Mail Tax Statements To: SAME AS ABOVE AEcORMUG PIEQUESTEo IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII BY: MIO VALLEY TITLE 2 iI 0 f+ — 0 0 2 5 1 4 4 RECORDING REQUESTED BY Recorded I REC FEE 13.00 First American Title Company Official Records I TAX 273.90 CountyBUTTEOf AND WHEN RECORDED MAIL TO: CANDACE J. GRUBBS I Gregory A. Avina and Sue E. Avina 1665 Swedes Flat Road RDSEMecorARY DICK50N I Assistant I Kathy Bangor, CA 95914 09:00AM 30 -Apr -2004 I Page 1 of 3 Space Above This Line for Recorder's Use Only A.P.N.: 028-470-010-000 - File No.: 5801=1:366683 (TP) - GRANT DEED The Undersigned Grantor(s) Declare(s): DOCUMENTARY TRANSFER TAX $273.90; CITY TRANSFER TAX $0.00; SURVEY MONUMENT FEE $ x computed on the consideration or full value of property conveyed, OR computed on the consideration or full value less value of liens and/or encumbrances remaining at time of sale, x unincorporated area; [ ] City of Bangor, and FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, Richard P. Smaw, Successor Trustee of the Smaw Living Trust, dated November 14, 1991 hereby GRANTS to Gregory Avina and Sue E. Avina, husband and wife as Joint Tenants the following described property in the unincorporated area of , County of Butte, State of California: 5 e s"c,e r P Ti o) 4 T-76cl-�-i5A Dated: 04/14/2004 (Z 1c1}� �. sN1AvJ suCcr%iZ-�'�� Trustee of the Smaw Living Trust, dated November 14, 1991 Richard P. Smaw, Successor Trustee Mail Tax Statements To: SAME AS ABOVE . V A.P.N.: Grant Deed - continued File No.:5801-1366683 (TP) Date: 04/14/2004 STATE OF Ca I i forn (� } )ss. COUNTY OF Ub 0,} On AQP r i I y, a 00 `� !!'' before me, —1 6U)l M C personally appeared I Cha -r -d P. 5niaw. 51ACOessor ru5 ee personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies) and that his/her/their signature(s) on. the instrument the persons) or the entity upon behalf of which the person(s) acted, executed the instrument. WITNESS my hand and official seal. 4 Commission Page 2 of 2 This area for o>ficiai notarial seal TAMMY R. FRITSCH Commission # 1400821 Notary Public - California Yuba County MY Comm. Expires Feb 14, 20 T Description Order No. BU -21998 JV The land referred to herein is situated in the State of California, County of Butte, and is described as follows: A PORTION OF THE WEST ONE-HALF OF SECTION 1, TOWNSHIP' 18 NORTH, RANGE 5 EAST, M.D.B. & M., BUTTE COUNTY, CALIFORNIA, MORE PARTICULARLY- DESCRIBED AS FOLLOWS: BEGINNING AT THE WEST QUARTER CORNER OF SAID SECTION 1, AND RUNNING ON AND ALONG THE EAST -WEST MIDSECTION LINE OF SAID SECTION 1, NORTH 89° 33' 16" EAST, 1319.51 FEET TO THE TRUE POINT OF BEGINNING OF THIS DESCRIPTION; THENCE LEAVING SAID EAST -WEST MIDSECTION LINE, NORTH 00 23'40" EAST, 1334.00 FEET; THENCE NORTH 890 42' 40" EAST, 1316.62 FEET TO A POINT IN THE NORTH -SOUTH MIDSECTION LINE OF SAID SECTION 1; THENCE ON AND ALONG SAID NORTH -SOUTH MIDSECTION LINE, SOUTH 00 16' 19" WEST, 1010.12 FEET; THENCE LEAVING SAID NORTH -SOUTH MIDSECTION LINE OF SAID SECTION 1, THE FOLLOWING COURSES: NORTH 890 43' 41" WEST, 204.90 FEET; SOUTH 190 57'.54" WEST, 654.97 FEET; NORTH 63° 05' 34" WEST, 633.49 FEET; SOUTH 89° 33' 16" WEST, 327.56 FEET TO THE TRUE POINT OF BEGINNING OF THIS DESCRIPTION. APN 028-470-010-000 ��- RECORDING REQUESTED BY: MID VALLEY TITLE RECORDING REQUESTED BY First American Title Company AND WHEN RECORDED MAIL TO: Gregory A. Avina and.Sue E. Avina 1665 Swedes Flat Road Bangor, CA 95914 ;=>Q1104—GDGD2IZ5 1 44+ Recorded Official Records County Of BUTTE CANDACE J. GRUBBS Recorder ROSE01ARY DICKSON Assistant 09:00W 30—ARr-2204 REC FEE 2.02 TAX 273.90 Kathy Page ' i of 3 Space Above This Line for Recorder's Use Only A.P.N.: 028-470-010-000 File No.: 5801-1366683 (TP) 3 GRANT DEED K l-4 1 F�-> i T The Undersigned Grantor(s) Declare(s): DOCUMENTARY TRANSFER TAX $273.90; CITY TRANSFER TAX $0.00; SURVEY MONUMENT FEE $ x computed on the consideration or full value of property conveyed, OR computed on the consideration or full value less value of liens and/or encumbrances remaining at time of sale, x unincorporated area; [ ] City of Bangor, and FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, Richard P. Smaw, Successor Trustee of the Smaw Living Trust, dated November 14, 1991 hereby GRANTS to Gregory Avina and Sue E. Avina, husband and wife as Joint Tenants the following described property in the unincorporated area of , County of Butte, State of California: S >° CO— / lei q d P.,S-C X 1 to r-1 NZ) -4 T i olc 415b Dated: 04/14/2004 Trustee of the -Smaw Living Trust, dated November 14, 1991 Richard P. Smaw, Successor Trustee Mail Tax Statements To: SAME AS ABOVE ' A.P.N.: Grant Deed - continued File No.:5801-1366683 (TP) Date: 04/14/2004 STATE OF COUNTY OF On P � ri I I q "a 00 q before me, yam YY) C h mt I personally appeared � Ch&,Y-d P. Sniawl 1,iC0e55Or r,45 ee , personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies) and.that.his/her!.their signature(s) on the instrument the person(s) or the entity upon behalf of which the person(s) acted, executed the instrument. WITNESS my hand and official seal. This area for official notarial seal My Commission Expires: TAMMY R. FRIiSCH W. Commission # 1400821 z . ` Notary Public - California "� Yuba County My Comm. Expires Feb 14,200 Page 2 of 2 J Description Order No. BU -21998 JV The land referred to herein is situated in the State of California, County of Butte, and is described as follows: A PORTION OF THE WEST ONE-HALF OF SECTION 1, TOWNSHIP' 18 NORTH, RANGE 5 EAST, M.D.B.- & M., BUTTE COUNTY, CALIFORNIA, MORE PARTICULARLY DESCRIBED AS FOLLOWS: BEGINNING AT THE WEST QUARTER CORNER OF SAID SECTION 1, AND RUNNING ON AND ALONG THE EAST -WEST MIDSECTION LINE OF SAID SECTION 1, NORTH 89° 33' 16" EAST, 1319.51 FEET TO THE TRUE POINT OF BEGINNING OF THIS DESCRIPTION; THENCE LEAVING SAID EAST -WEST MIDSECTION LINE, NORTH 0° 23'40" EAST, 1334.00 FEET; THENCE NORTH 890 42' 40" EAST, 1316.62.FEET TO A POINT IN THE NORTH -SOUTH MIDSECTION LINE OF SAID SECTION 1; THENCE ON AND ALONG SAID NORTH -SOUTH MIDSECTION LINE, SOUTH 00 16' 19" WEST, 10 10. 12 FEET; THENCE LEAVING SAID NORTH -SOUTH MIDSECTION LINE OF SAID SECTION 1, THE FOLLOWING COURSES: NORTH 890 43' 41" WEST, 204.90 FEET; SOUTH 190 57'.54" WEST, 654.97 FEET; NORTH 630 05' 34" WEST, 633.49 FEET; SOUTH 890_ 33' 16" WEST, 327.56 FEET TO THE TRUE POINT OF BEGINNING OF THIS DESCRIPTION. APN 028-470-010-000 -N®TES El - a Butte County Department of Development Services. �urrf• (ir Wyly 7 County Center Drive, Oroville, CA 95965 • ` } couNty •y, - (530) 538-7601 www.buttecoilntY netidds RESIDENTIAL APN: _ Perms No., --._ _ _ 8-470-010 05-291 02 6 LZ Owner: _ AVINA, SUE & GREG - - - 1 1665 SWEDES FLAT RD, BANGOR Site Address:: Cont: GREENE ROOFING - Contractor. ADD -BASEMENT & MAIN STORY Type of Permit: SRA FLOOD CERTIFICATE EQUIRED FIRE SPRINKLERS REQUIRED SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUBSTANDARD HOUSING LETTER ENCROACHMENT PERMIT REINSPECTION FEE PAID ENV HLTH CLEARANCE f iy • DATE JOB FINALED: v' ?,--SIGNATURQ6�'II/ CHECKED BY Mi COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE /4y; V.c� Off- za.�b OWNER PERMIT N0. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please call for re -inspection when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact the Building Inspector as indicated below. SA 1�- M J,—\&-. C+,,r+..- D�U��'�I V (%SG S 1-e9L 410PI G /o j-lll� 4,,9.0 k_ o.dG�s•'ti� Date Inspector REV 4/05 Phone # X39 S3 FOR RE -INSPECTION CALL: 538-7636 OR 891-2834 COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 County Center Drive - Oroville, CA * (530) 538-7541 CORRECTION NOTICE OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please call for re -inspection when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact the Building Inspector as indicated below. Date Inspector REV 4/05 Phone # FOR RE -INSPECTION CALL: 538-7636 OR 891-2834 a, Date Inspector REV 4/05 Phone # FOR RE -INSPECTION CALL: 538-7636 OR 891-2834 COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE OWNER ; PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please call for re -inspection when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, pl contact the Building Inspector as indicated below. X 1Z lUX1�-- V Date 6� I C(o Inspector C J_pAA-k X /�r,-,-l'�f REV 4/05 Phone # FOR RE -INSPECTION CALL: 1538-7636 OR 891-2834 d INSTALLATION CERTIFICATE (Page 12 of 12) CF -(R Signature Date Site Address 66 s swedes Cr, Permit Number Material County Subdivision Lot Number Thermal Resistance (R -Value) Description of Insulation (Formerly IC -1 Form) Signature Date I. RAISED FLOOR Item #s Material Brand Name Thickness (inches) Thermal Resistance (R -Value) 2. SLAB FLOOR/PERIlvIETER Material Brand Name Thickness (inches) Thermal Resistance (R -Value) Perimeter Insulation Depth (inches) (if applicable) 3. EXTERIOR WALL General Contractor (Co. Name) OR Owner Frame Type A. Cavity Insulation Material !-.elr Brand Name Thickness( Thermal Resistance (R -Value) t 3 B . Exterior Foam Sheathing Material Brand Name Thickness (inches) Thermal Resistance (R -Value) 4. FOUNDATION WALL Material Brand Name I G. Thickness (inches) 0 Thermal Resistance (R -Value) Z 5. CEILING Batt or Blanket Type Brand Name Thickness (inches) Thermal Resistance (R -Value) Loose Fill Type & J1, j pip Brand 01) n p,n n f,",,, Contractor's min installed weight/ftz,,.r lb Minimum thicknesses inches Manufacturer's installed weight per square foot to achieve Thermal Resistance (R -Value) 6. ROOF Material Brand Name Thickness (inches) _ Thermal Resistance (R -Value) Declaration ✓ ❑ I hereby certify that the above insulation was installed in the building at the above location in conformance with the current Energy Efficiency Standards for residential buildings (Title 24, Part 6, California Code of Regulations) as indicated on the Certificate of Compliance, where applicable. Item #s (if applicable) Signature Date Installing Subcontractor (Co. Name) OR General Contractor (Co. Name) OR Owner OR Window Distributor Item #s Signature Date Installing Subcontractor (Co. Name) OR (if applicable) General Contractor (Co. Name) OR Owner OR Window Distributor Item #s Signature Date Installing Subcontractor (Co. Name) OR (if applicable) General Contractor (Co. Name) OR Owner OR Window Distributor Residential Compliance F6r4i6 April 2005 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class : License Number: PERMIT NO. BPO52916 Issued Date: 02/02/2006 APN: 028-470-010-000 Site Address: 1665 SWEDES FLAT RD BAN Date: Contractor: dap Index: Description: ADDITION TO SF (1536) OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the intended or offered for sale (Sec. 7044, Business and Professions Contractors' State License Law for the following reason (Sec. 7031.5 Code: The Contractors' State License Law does not apply to an Business and Professions Code: Any city or county which requires a Owner: AVINA, GREGORY & SUE E permit.to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a 1665 SWEDES FLAT RD signed statement that he or she is licensed pursuant to the provisions of BANGOR, CA the Contractor's State License Law (Chapter 9 commencing with Section 95914 7000) of Division 3 of the Business and Professions Code) or that he or year of completion, the owner -builder will have the burden of she is exempt therefrom and the basis for the alleged exemption. Any (530) 679-0735 violation of Section 7031.5 by any applicant for a permit subjects the sale.). applicant to a civil penalty of not more than five hundred dollars ($500).): JGI I, as owner of the property, am exclusively contracting with ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Applicant: AVINA, GREGORY & SUE E Code: The Contractors' State License Law does not apply to an 1665 SWEDES FLAT RD owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, BANGOR, CA provided that such improvements are not intended or offered for 95914 sale. If however, the building or improvements are sold within one (530) 679-0735 year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). JGI I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does Contractor: GRABER, CLETUS not apply to an owner of property who builds or improves thereon, 208 ROLLING OAKS LANE and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). BANGOR, CA. 95914 ❑ 1 am Exempt under Article 3 of the Business and Professions Code 30-67 530-679-0217 _ /��1•,�� Date: G`Z OL Owner: 0-' -" `' . License #: 769601 WORKERS' COMPENSATION DICLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Architect: Labor Code, for the performance of the work for which this permit is issued. Engineer: rLT ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: - Policy Zr I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: Applicant: WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY. I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097 Civ.) . . Name: Address: Total Square Ft: 1536 S.F. Valuation: $99,840.00 Census Code: . f* �.3 * G This permit is her K/ issuedrayAa e a l able p ovisions of the Butte Counly Code and/or . Resolutionsrt.11 work jndi r whic ees have been paid. By: Date: „� f. PERMIT EXPIRES ON: O 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. O Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection purpose Print Name: - G <Q c(ii >� \ �/ n Signature: Date:. y 0 6 U Owner ❑ Contractor ❑ Agent for Owner ❑ Agent for Contractor B. C. Building Permit 01-16-04 pg 1 = OK 0 = Not OK MANUFACTURED HOMES MISCELLANEOUS QATE PERMANENT FOUNDATION SOFT -SET 1 Zoning -Setbacks -Easements 2 Soils; Special MH Support Sketch 3 Sewer; Loctn-Test; Fall/C/O-Concrete .4 Wtr, Loctn-Test-Easement Needed -Regulator 5 Elec Loctn-Clrncs-Grnd Amp -Concrete 6 Yard Gas; Loctn-Test-Wrap Nat ❑ or LPQ Inch Sz Ft Lngth 7 Blckng; Sz-Spacing-Marriage Line 8 Gas; MH Test-Demand-Valve-Cnnctr 9 Elec MH Cntnty Test-Crossovers -Breakers -CI rncs 10 Drain; MH Test -Fall -Flex Cnnctr 11 Wtr & Sewer Connected -C/O to Grade 12 Gas and Electricity Tagged 13 Tie Downs ❑ Foundation ❑ 14 Exits 15 Cert of Occupancy 16 HUD Label/Insignia Numbers Serial Numbers DATE ID E C K S -C O V E R S -C A R P O RT S tGARAGES 1 Zoning -Setbacks -Easements 2 Ftgs; Soils -Sz-Dpth-Spacing -Cnnctrs-Steel 3 Decks, Girders/Joists-Dcking-Brcing Stairs-Guard/Handrails 4 Wood Awn; Posts-Beams-Rftrs-Cnnctrs-Shthg Frmg-Brcng 5 Alum Awn; Columns-CnnctnsSplice-Decal-Enclsrs 6 Carports; Wndws-Doors 7 Electric 8 Frmg; Sills-Anchrs-Studs-Rftrs-Trusses 9 Siding; Nailing -Veneer -Stucco -Lath 10 Roof; Shthg-Roofing 11 Ext; Steps -Doors -Landings 12 Braced Wall pnls 41 °s 4� DATE IPOOLS 1 Setbacks -Easements 2 Soils; Compact! onStructure Stability 3 Pool Structure; Steel-Cnnctns-Thickness Dead Men -Lining 4 Elec Rcptcls/Lting; Distance-GFI 5 Elec Pool Lting; 15 volts-GFI 6 Elec Enclsrs; Conduit Entries -Terminals -Listed 7 Elec Bonding; Metal w/5'-Crcltng Eqp-Htr 8 Elec Grndng; Eqp w15' Crcltng Eqp-Pool Ightg Bdxes-Enclsrs-pnlboards-insultn to Main Conduit 9 Health Dept Apprv1 . 10 Plmb; Cir Test-Wtr Supply Test 11 Lt Niche 12 Encisr, Fencing -Alarms 13 Bonding, Diving board or Slide 4e Pool Drawing =OK 0 = Not OK RESIDENTIAL (Single & Duplex) DATE JUNDERFLOOR DATE P LI.%nl B I N G 1 Zoning -Setbacks -Easements -Flood -Slope tr; Vent-Acc-Cmbstn Air Baffle ' P,,r. -ja, 2, -CV 2 Ftg Main; Soils-Elec Grnd v,g o� ' - Ftg Dpth AICWtrPipe; Test & Anchr-Nail Prtctn 3 FAq.Garage; ils-Steel-Elec Grnd Ftg Dpth. ; Test Fittings & Anchr Nail Prtctn 4 F Porches/Decks; Soils -Steel Ftg Dpth 56 Shwr Pan; Test, First flr-Tub Acc temwalls Main; Steel-Blockouts-Wrapped 57 Test Tub & Shwr, 2nd fir - Tub. Acc 6 Sfemwalls Garage; Steel-Blockouts-Wrapped 58 Gas Pipe; Sz & Anchrs Ho Downs and Special Anchrs 59 Fire'Sprinkler; Test 6 �Q%Xab, Steel Wrapped 60 Yard Gas Piping 8 Pii -Frplc Ftg-Steel p�DWV; Fall -Fitting -Test -2 -way CIO -Sewer Test 10 UF, Gas Pipe; Sz Anchrs-Sz Test 11 Wtr Pipe; Test-Anchrs-Rgltr-Service Test DATE A N I C A L 12 Elec Undrgrnd 13 Plenums & Ducts; Clrnc-MaterialSupport4nsultn cts Insulin & Support 14 Girders Sills-SillsBoltsJoists-Vnts-Cripples ��Fan, Exhaust abv Insultn _ 15 Acc & Vntltn Condensate Drain & Ovrflw, Sz & Grade 16 Insulation , t f\ 64 Furnace -Vent Acc-Comb Air Rtrn/Vent 115 Outlet 65 Attic Acc & Pltfrm if Furnace in attic DATE IFRAOING Si roper Materials & Anchrs DATE IF I Ex s, -Door & SideLt Prtctn-Landings r tuds-Nailing Spacing & Braces -Plates -Sound �egg Walls over Girders & fir Nailing -oke Detector ft Stop in Walls (rat proof) 68 Furn nts-Clrnc-Comb, Air-Cnnctr 21 ops, Furred Ceilings -Stairs -Chasers -Tubs I arage; abv-flr-Ducts-Meth Prtctn ea Beams-Sz & Bearing om Exiting 2 an e ' - ost Caps-Anchrs-Cnnctns I Bath Fxtrs & Tub Acc-Spa RFI mg Joist-Rftr Ties-Purlin-Roof Brac-TrussShthg Arc Fault plc Ties or Type A Flue-Frplc Throat Clrnc lec Trim & Subpnl, Breaker Szs & Labels ,c cc; Sz & Rmx Prtctn-Draft Stop -Ins Baffles 3 tail Guard/Handrails 2 rm Wndws or Exiting Doors -Sill Ht & Dimensions plc or Stove, Cirnc-Hearth 28 Garage Fire Prtctn Framing -RC Channel let at Wood Pnl, Int & Ext _ 29 Prprty Line Firewall & Opngs n, Fxtr & Appinc; Grnd it a ooking Clmc 30 Ext Do ne 3' -Check Garage 3rd Story, 2 Exits Elec Outlets & Rcptcls at Ktchn Counter 3 ,rs; Width-Hdrm-Rise-Run-Landing-Fire Prtctn 78 Garage Fire Door; Swing -Landing -Closure 3ZJNyvlyd-on Roof Ovrhng-Attic Vnts-Rftr Outrgrs 79 AC Duct in Garage -Damper 33 Siding -Nailing Veneer 80 Wtr Htr; Vnts-Clrnc-Com Air Cnnctr-PRV; abv fir 34 Stucco Lath -Weep Screed-Fndtn Vnts-Undrfir Acc Mec rtctn; LPG Appince Undr House 3" drain 35 GI iag Area -Glass P rtctn-SkyLts -Plastic 8 mb; Elec & Mech Eqp Listed for Loctn Prtctn 3 he alls; Nailing -Bolts 8 Elec Rcptcls in Garage (GFI) Romex 3 race Int/Ext Wall pnis 83 Ins ultn-Foam -Looked in Attic 38 Insultn-Walls-Ceilings 84 Guard Rails & Deck Cnstrctn-Post Caps 39 Infiltration-Walls-Wndws 85 Fndn Vnts & Crawl Hole Door Drnge & Wood -Earth 86 Clrnc Dmge Planters ❑ Yes ❑ No 87 Stucco Bro -Finish 88 1 Dscnnct, Elec-Plmb nts abv Roof, Plmb-Appinc-Frplc-Clrnc to Opngs 90 Wtr Well, Dscnnct, Elec, Plmb 91 Fxt lec Trim, GFI Rcptcl-Undrgrnd DATE JELECTRICAL 40 F Trnsfrmr Clrnc-Ins Prtctn Rcptcls Spacing-Lts & Switches at Doors V n thru House .- S & No Of Cndctrs Stapled Glass Prtctn x Installed Close to Edge of Studs & CJ orrections from previous Inspctns rnd made up w/Mech Fstnrs 95 Gas Test -Meters Tagged, Gas-Elec rndng Electrode Bond Gas & Wtr 96 Wtr wer Cnnctd-C/O to grade -HD Apprvl 46 2 nc Cires in Ktchn & Cndctr Sz GFIy Cmpinc Cert Other Certs Subfeed Wire Sz Qa �CU or DAL Address Posted AC Wire Sz ga ❑ CU or El AL 99 Fire Sprinkler 48 Range Circ ga ❑ CU or ❑ AL Circ ❑CU QAL Oven ga or Insulated Neutral ❑ Yes ❑ No o` • 6-y— 4111 49 Service -Riser Cndctrs & Grnd Main Dscnnct 50 E cs pnls-Motors-Mech Eqp es Closet Lt-Shwr Lt -Spa Lt �.- moke Detector w. ,:'. ] _ 2006-0005395 Recorded I REC FEE 19.60 Official Records I County of I COIFOWD COPY 1.00 Butte 1 When recorded return to: CNOU J. SUBS I County of Butte County Clerk—Recorders Department of I DD Development Services 01: 49M 624eb-2886 1 Page 1 of 5 Building Division IIII III III I IIIIIIN11111111111111 7 County Center Drive Oroville, CA 95965-3397 Space above for Recorder's Use (rev.7/OS) Owner Name: Gregory Avina and, -Sue E. Avina /✓'` Building Permit No: 05-2916 (Storage) DEED RESTRICTION AND NOTICE OF LIMITED USE FACILITY I. WHEREAS, on this 12th day of January, 2006, Gregory Avina And Sue E. Avina hereinafter referred to as owner(s), is the record owner of the following real property: 1665 Swedes Flat Rd. Bangor, Ca. 95914 Assessors Parcel Number 028-470-010 and as further set forth in Exhibit "A" attached hereto and hereby incorporated by reference, hereinafter referred to as "the subject property"; and II. WHEREAS, the Building Division of the Butte County Department of Development Services is acting on behalf of the People of Butte County; and 'III. WHEREAS, the owner applied to the Building Division for a building permit in order to develop the subject property described above; and IV. WHEREAS, Building Permit No. 05-2916 was applied for on October 24, 2005 by the owner in accordance with the provisions of the Butte County Code and the California Building Code; and V. WHEREAS, the use allowed by Building Permit No. 05-2916 has been reviewed and approved for only the limited purposes set forth below; and VI. WHEREAS, it is intended that this Deed Restriction and Notice of Limited Use Facility shall constitute an enforceable restriction and remain in effect until a I (3O 8,E r change in use or character of use has been approved by the Butte County Building Official or a change in law has occurred, either of which change allows the uses otherwise restricted herein to be conducted on the -real property described herein. Under either circumstance allowing such change in use, Owner shall be entitled to have this Deed Restriction and Notice of Limited Use Facility rescinded by. the execution of a subsequent document entitled Rescission of Deed Restriction and Notice of Limited Use Facility by the Director of Development Services; and VII. WHEREAS, Owner acknowledges that Owner will comply with the limited use restrictions that were incorporated in reviewing and approving Building Permit No. 05-2916 which enabled Owner to undertake the limited use authorized by this permit. NOW, THEREFORE, with the issuance of Building Permit No. 05-2916 to Owner by Butte County, Owner hereby affirms Owner's desire to develop a limited use facility, as set forth below, which establishes restrictions on the use and enjoyment of this limited use facility. The undersigned Owner, for himself/herself and for his/her heirs, assigns, and successors in interest, acknowledges and agrees to those restrictions. This limited use facility shall be utilized in compliance with those limitations prescribed by the California Building Code occupancy classification assigned by the building official, except the following uses are not allowed: no living, sleeping or cooking. Additionally, this area will not be heated or cooled. If any provision of these restrictions is held to be invalid or for any reason becomes unenforceable, no other provision shall be thereby affected or impaired. This deed restriction and notice of limited use facility shall remain in full force and effect during the period that this permit, or any modification or amendment thereof, remains effective, and during the period that the development authorized by this permit, or any modification of this development, remains in existence in or upon any part of, and thereby confers benefit upon, the subject property described herein, and to that extent, this deed restriction and notice of limited use facility is hereby acknowledged and agreed to by Owner to restrict the use and enjoyment of this limited use facility and shall be binding on Owner and all his/her assigns or successors in interest. f; Scott Rutherford, Interim Building Official - 1P06 Owner agrees to record this Deed Restriction and Notice of Limited Use Facility in the Recorder's Office for the County of Butte as soon as possible after the date of execution. This document shall be recorded and returned to the Butte County Department of Development Services, Building Division prior to the issuance of Building Permit No. 05-2916 DATE: Feb. 4 , 20 P6 Owner Signature: �r eator A. Av;nc— PrinCor type Name of Above Owner Signature: Print or Type Na We of Above Scott Rutherford, Interim Building Official 1 bbl o � NOTE TO NOTARY PUBLIC: If you are notarizing the signatures of persons, signing on behalf of a corporation, partnership, trust, etc., please use the correct notary jurat (acknowledgment) as explained in your Notary Public Law Book. STATE OF CALIFORNIA SS. COUNTY OF BUTTE ) On 2 ���t_tforre me, 1': �l�l lL1 {2�6 NotaryPub ic, persoal) ppe U '-' , personally known to me or roved to me on the basis of satisfactory evidence) to be the person(s) whose n e(/they s Is re subscribed to the within instrument and acknowledged to me that he executed the same i is/ er/their authorized capacity(ies), and that by i er/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. S 7Z.." my an and official seal. - / . /2a , Z= IgnatureeZ. a6_ *7- 0 STATE OF CALIFORNIA - SS. (Seal) =P MENIK NG COMMMon # 1590360 �y ftft = CQHfWft Bulls County M6A►Comn.8tpl�.lun2br 2004 COUNTY OF BUTTE ) On" �i before me, A19/ : Notary Public, persona appeared personally known to me (or roved to me on the basis of satisfactory evidence) to be the person(s) whose name(sQ,Aire subscribed to the within instrument and acknowledged to me that he/ -ey executed the same in hisl�their authorized capacity(ies), and that by his/ er heir signature(s) on the instrument the person(s), or the entity upon behalf of whic the person(s) acted, executed the instrument. WI E S my nnd official seal. J -isl Ignature o , 06 Scott Rutherford, InterimBuilding Official V, 1' ANN R IAS810ING Comdullon 01590350 WW 4� NOW v Pjtft - CGHOM10 aAls Caunly MlrConrn.IB�pta�Jun26. (Seal) �oww, sl111. sq, WW COMM as HMmA bapgc - r_GROdWc1 Ca y J26mao 1M14iA D wEva e op w aMAcowur E9*92'w 59' $008 $rite COMO vp:MA bpmlc - C0110tt O - cOL,►uniou is ,?60320 �E WEViIf1VtL This is to certify that the Deed Restriction set forth above is hereby acknowledged by the Director of the Department of Development Services and that Butte County consents to its recordation thereof. Dated: '2///0 � Scott Rutherford\ IV Interim Building Off ic al, Department of Development Services STATE OF CALIFORNIA ) SS. COUNTY OF BUTTE ) Ori before me, JI -)IM Mi t-t.•4•J , Notary Public, personally appeared Sco-rr �2u-r,�EaFoQo personally known to me to be the person.(* whose name,(,&) is/ae-subscribed to the within instrument and acknowledged to me that he%shetFhey executed the same in his/ba43beir authorized capacity(es4, and that by his/bedibak signature(** on the instrument the person{W;-or the entity upon behalf of which the person,(,s-�acted, executed the instrument. - WITNESS my hand and official seal.conw h on• iumi OLD �rF4M-C4MWft suft cM* • � �. Baa i nature (Seal) November 14, 2005, Department of Development Services Building Division 7 County Center Drive Oroville, CA 95965 (530) 538-7541 (530) 538-2140 FAX Sue & Greg Avina 1665 Swedes Flat Rd. Bangor, Ca. 95914 Assessor Parcel Number 028-470-010 Building Permit Number: 05-2916 Thank you for submitting the plans for your building project. The plans have been reviewed and comments are listed below. Please respond in writing to each item by completing and returning the enclosed PLAN REVIEW RESPONSE FORM. Your complete and clear response will expedite the re -check and approval of this project. COMMENTS: 1. Provide floor framing at stairs with supporting concrete pad or footing. 2. Upstairs bedroom windows do not meet fire escape requirement, (C.B.C. 2001 section 310.4), 20" wide 24" high, 5.7 sq. feet min. opening. (36"X 48" casement windows are ok. Not double hung.) 3. Downstairs bedroom window does not meet the required light & ventilation. (C.B.0 2001 section 1203) 10% of floor area, Light, .05%Ventilation. 4. Downstairs unfinished Storage area must be separated from bedroom and access too the bedroom by a wall & door. If you wish to discuss any of these requirements, please call (530) 538-7541. Jim Peterson Plans Examiner .cc F.L.T. Engine mg �A-� Iofl ' PLAN REVIEW RESPONSE FORM En order to expedite the review of your plansy please complete the following information and return this form with your re -submittal I this form is not complete, as to all correction items, we will not be able to accept your re -submittal for review. There response tv every item requested in our plan correction letter. "By others" is not considered a valid response. Pleamuni be a valic response to each item and the location where the information can be found on the plans/calcs. se mdicate yow ATTACH THIS FORM TO A COPY OF YOUR PLAN REVIEW OWNERS NLETTER AND RETURN Wr REVISED AND ORIGINAL PLUS. RS -N AME l DATE. 74 ASSESSORS PARCEL NUMBER PERMIT UMBER y70 - 0,10 RESPONSE FOR PLAN CHECK LETTER DATFD: r PIAN CHECK ITEM # RESPONSE BY: LOCATION ON PLANS/CALCS 0, N CHECK ITEM if RESPONSE BY: MENTS.- P �jP !ice f:yL, t �S47 CHECK ITEM RESPONSE Sr. M1AEM'S: /t /f rM LOCATION ON PLANSICALCS: S% e e -F9 3 LOCATION ON =f -7/ P BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 PERMIT NO. BP052916 B. C. Building Permit 01-16-04 pg 1 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 02/02/2006 APN: 028-470-010-000 the Business and Professions Code, and my license is in full force and effect. Site Address: 1665 SWEDES FLAT RD BAN License Class : License Number: Map Index: Date: Contractor: Description: ADDITION TO SF (1536) OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a Owner: AVINA, GREGORY &SUE E permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a 1665 SWEDES FLAT RD signed statement that he or she is licensed pursuant to the provisions of BANGOR, CA the Contractor's State License Law (Chapter 9 commencing with Section 95914 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any (530) 679-0735 violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Applicant: AVINA, GREGORY & SUE E Code: The Contractors' State License Law does not apply to an 1665 SWEDES FLAT RD owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, BANGOR, CA provided that such improvements are not intended or offered for 95914 sale. If hcwever, the building or improvements are sold within one 679-0735 year of completion, the owner -builder will have the burden of (530) proving that he or she did not build or improve for the purpose of sale.). I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does Contractor: GRABER, CLETUS not apply to an owner of property who builds or improves thereon, 208 ROLLING OAKS LANE and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). BANGOR, CA. 95914 ❑ I am Exempt under Article 3 of the Business and Professions Code 530-679-0217 � 2, p( Date: � — Owner: License #: 769601 WORKERS' COMPENSATION D CLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit Architect: is issued. Engineer: FLT O I have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation �O 1 insurance carrier and policy number are: Carrier: Total Square Ft: 1536 S.F. Valuation: $99,840.00 Policy#: Census Code: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, pp and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall 1� 1— forthwithcomplywith those V )provisions. Date: Applicant:'O%f7 WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY. This permit is her issued u - e a ble provisions of the butte County Code and/or 1 hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097 Civ.) Resolutions to o workjndi d abo r whit ees have been paid. 2 6 Name: ey:2'— y Date: Address: PERMIT EXPIRES ON: Date ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection purpose Print Name:y f Q cI a �) 7\ V n 0. Signature: D Date:. Owner ❑ Contractor ❑ Agent for Owner ❑ Agent for Contractor B. C. Building Permit 01-16-04 pg 1 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTIONM OROVILLE: (530) 538-7636 • CHICO: (530) 591-2834 OFFICE 9: (530) 538-7541 A FEE WILL BE REOUIRED AT TWE OF APPLICA TION Website: www.buttecounty.net/dds `*PLEASE PRINT CLEARLY** ARCHITECT/ENGINEER OWNER Last Nameirst s Cz Address e, Name City Q/ State F Addres .v J `GLzed Planner S tic. # City State Zip Phon O `7 . Fax E-mail �VONC- ARCHITECT/ENGINEER CONTRACTOR Name s Cz Address e, City Fax 72 _ �3 State Zip Phone .v J F x 7F. 0417 Planner Date Approved: tic. # Class ARCHITECT/ENGINEER Name r Address City State Zipq%j- q Pho Fax 72 _ �3 E -m il— State License Number APPLICANT NAME Name Address City State Zip Phone Fax E-mail APPLICANT SIGNATURE X For office use only: Zoning Property Address f S 2t 1 Flood Zone Cross Street SRA I es No Occ. I Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS PERI\ZIT NO. BIN # I A -Ib LOCATION AP# 0 2 -970-010 Property Address f S 2t 1 ity Cross Street WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address Description or Scope of Work: Sq. Footage f 3 t ❑ Structure Built without Per i s n ❑ Proposed Change of Occof4eed (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check.fees for work plan checked and other department costs are not refundable. Received by: b, Amount COS I , �R .... . .....Bldg 2 0� _q� SRA Receipt #: y D� Sherif SMIP Other Date: 10- 2-qq - 0,5 Total SUBMITTAL & PERMIT REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply for a p reit. INCOMPLETFkUBM/TTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND /N INK Nj 1. ❑ 2. Site plans, 3Wr 4 sets, signed by the preparer of the plans. No graph paper! C'Unplete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. Engineered truss details and layouts in duplicate (if required). No faxes! Energy compliance design and supporting documentation in duplicate. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. Manufactured homes: (A) installation inst, (B) Marriage line info, (C) Floor. Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 7. Metal bidgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required). ❑ 9. Site plan and business license approval from the City of Biggs. ❑ 10. Letter of intent for non-residential buildings. ❑ 11. Detached Accessory Building Form filled out by the owner (if required). ❑ 12. Hazardous Material Form (for Commercial Buildings only). Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning review (May require additional plan review upon receipt of the following items.) ❑ 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required). ❑ 2. Impact Fees. ❑ 3. California Department of Forestry plan approval (if required). ❑ 4. NPDES Form. ❑ 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 6. Contractor's license information. (Number, Name Style, Classification). ❑ 7. Worker's Compensation Carrier and Policy Number. ❑ 8. Owner -Builder Verification (if required). ❑ 9. Letter of Signature authorization (if required). ❑ 10. Recorded copy of Agricultural Acknowledgment Statement. ❑ 11. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts. ❑ 12. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, please contact a Permit Assistant at (530)538.7541. EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made within two years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. OVER FOR BUILDING PERMIT APPLICATION KAFORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 2-24-05 b p 2(l.' " . COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA .95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: AV (Y)p�i�n'rV= Sue ASSESSOR PARCEL NUMBER Proposed Building Use: ild d k � F Permit Technician: 1. Date: 10 - 2N -05 It fns required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply. \0 1W 1. Site plans, 3 r 4 sets, signed by the preparer of the plans. V2. Complete plans, 3pr.,4 sets, signed by the preparer of the.plans. A 3. Engineered plans,16r 4 sets, with wet signature on plans AND 2 sets of stam ed�and signed calculations. A i(' N]4 4. Engineered truss details and layouts in duplicate. No faxesl ❑ 5. Letter from Engineer or Architect for truss design review. U'IN 6. Energy compliance design and supporting documentation in duplicate. ❑ 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 8. Manufactured homes: (A) Installation manual, including marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. .:� ❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate. ❑ 1,1, Hazardous Material Form ❑ 12. Acknowledgement of building permit application without required clearances. ❑ 13. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) "\dj:N 14. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable ❑ 15. Fire Sprinklers...........................................:.:............................................... ❑ 16. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ 17. Soils Report and/or Engineered Foundation required ........................................... &-C x1 18. Erosion Control Plan Required........................................................................ 19. Fees as shown on the attached Schedule of Fees Due Sheet .............................. ❑ 20. City of Chico Plumbing permit........................................................................ ❑ 21. Site plan and business license approval from the City of Biggs ......................... "... 22. California Department of Forestry, plan approvals paid. Sent by: x ' . ......... I 23. Planning approval for (A) Use: B) Parking: (C) Parcel Check .............%- t ❑ 24. Contact Land Development about _ Improvements, _ Drainage............�........... ❑ 25. Fire Marshall Review (commercial projects only). Sent by: ...................... 26. NPDES Form.................................................................................�........... ❑ 27. Encroachment Permit for driveway from the Public Works Dept ............................ ❑ 28. Contractor's license information. (Number, Name Style, Classification) ................... /ti ❑ 29. Worker's Compensation Carrier and Policy Number........................................::a ! -� :1 ' r ❑ 30. Owner -Builder Verification (_ Given to owner, _Mailed to owner) ..................... ❑ 31.' Letter of Signature authorization............................................................ ,........ ❑ 32. Recorded copy of Agricultural Acknowledgment Statement ................................. -1 33. Existing violations and/or expired permits.:.......................................................' 34. Deed Restriction............................................................. ............................ : 35. , ❑ Legal description, ❑ M.H. Title, title search, registration or MCO........ ... A.........; r t 36. Other: Ernni Dind - rp i n ❑ 37. Other: ' 79 When issued Telephone (530 t PN and hold for pickup. I have been informed of the above items and requirements for obtaining a building permit. Applicant: �x�"�i Date: ,� A 1. Index permit application for the above items numbered: Plan Check Letter 2. Additional items required Contractor, designer ner as advised of the above data by e phone, ❑ mail, ❑ counter, by Date:91 !geed 95b- Cfrbn Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Contractor, designer, owner, was advised of the ab veata by ❑ phone, ❑ mail, ❑ counteF, by Date: Plans reviewed by: JP Date: Welfos Plans approved by:IIS d�N /- Date: I t, 1 a b Structural reviewed by: Date: Structural approved by: Date: Note transfer by: Date: Yellow: Building Division K/BuildinglPlan Check/Data Sheets/data sheet page 2 9.27.05 a t Z. t When recorded return to: County of Butte Department of Development Services Building Division 7 County Center Drive. Oroville, CA 95965-3397 Space above for Recorder's Use (rev.7/05) Owner Name: Gregory Avina and -,-Sue E. Avina Building Permit No: 05-2916 (Storage) DEED RESTRICTION AND NOTICE OF LIMITED USE FACILITY I. WHEREAS, on this 12th day of January, 2006, Gregory Avina And Sue E. Avina hereinafter referred to as owner(s), is the record owner of the following real property: 1665 Swedes Flat Rd. Bangor, Ca. 95914 Assessors Parcel Number 028-470-010 , and as further set forth in Exhibit "A" attached hereto and hereby incorporated by reference, hereinafter referred to as "the subject property"; and II. WHEREAS, the Building Division of the Butte County Department of Development Services is acting on behalf of the People of Butte County; and III. WHEREAS, the owner applied to the Building Division for a building permit in order to develop the subject property described above; and IV. WHEREAS, Building Permit No. 05-2916 was applied for on October 24, 2005 by the owner in accordance with the provisions of the Butte County Code and the California Building Code; and V. WHEREAS, the use allowed by Building Permit No. 05-2916 has been reviewed and approved for only the limited purposes set forth below; and VI. WHEREAS, it is intended that this Deed Restriction and Notice of Limited Use Facility shall constitute an enforceable restriction and remain in effect until a change in use or character of use has been approved by the Butte County Building Official or a change in law has occurred, either of which change allows the uses otherwise restricted herein to be conducted on the real property described herein. Under either circumstance allowing such change in use, Owner shall be entitled to have this Deed Restriction and Notice of Limited Use Facility rescinded by the execution of a subsequent document entitled Rescission of Deed Restriction and Notice of Limited Use Facility by the Director of Development Services; and VII. WHEREAS, Owner acknowledges that Owner will comply with the limited use restrictions that were incorporated in reviewing and approving Building Permit No. 05-2916 which enabled Owner to undertake the limited use authorized by this permit. NOW, THEREFORE, with the issuance of Building Permit No. 05-2916 to Owner by Butte County, Owner hereby affirms Owner's desire to develop a limited use facility, as set forth below, which establishes restrictions on the use and enjoyment of this limited use facility. The undersigned Owner, for himself/herself and for his/her heirs, assigns, and successors in interest, acknowledges and agrees to those restrictions. This limited use facility shall be utilized in compliance with those limitations prescribed by the California Building Code occupancy classification assigned by the building official, except the following uses are not allowed: no living, sleeping or cooking. Additionally, this area will not be heated or cooled. If any provision of these restrictions is held to be invalid or for any reason becomes unenforceable, no other provision shall be thereby affected or impaired. This deed restriction and notice of limited use facility shall remain in full force and effect during the period that this permit, or any modification or amendment thereof, remains effective, and during the period that the development authorized by this permit, or any modification of this development, remains in existence in or upon any.part of, and thereby confers benefit upon, the subject property described herein, and to that extent, this deed restriction and notice of limited use facility is hereby acknowledged and agreed to by Owner to restrict the use and enjoyment of this limited use facility and shall be binding on Owner and all his/her assigns or successors in interest. Scott Rutherford, Interim Building Official Io 6106 Owner agrees to record this Deed Restriction and Notice of Limited Use Facility in the Recorder's Office for the County of Butte as soon as possible after the date of execution. This document shall be recorded and returned to the Butte County Department of Development Services, Building Division prior to the issuance of Building Permit No. 05-2916 DATE: 120 - Owner 20 Owner Signature: Print or Type Name of Above Owner Signature: Print or Type Name of Above Scott Rutherford, . Interim Building Official 1 �c�fe NOTE TO NOTARY PUBLIC: If you are notarizing the signatures of persons, signing. on behalf of a corporation, partnership, trust, etc., please use the correct notary jurat (acknowledgment) as explained in your Notary Public Law Book. STATE OF CALIFORNIA ) SS. COUNTY OF BUTTE ) On Public, personally appeared before me, Notary , personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. WITNESS my hand and official seal. Signature STATE OF CALIFORNIA COUNTY OF BUTTE On Public, personally appeared before me, SS. (Seal) Notary personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. WITNESS my hand and official seal. Signature (Seal) Scott Rutherford, IV-1 rim Bbuildning Official /0 This is to certify that the Deed Restriction. set forth .above is hereby acknowledged by the Director of the Department of Development Services and that Butte County consents to its recordation thereof. Dated: �2/1/6 Scott Rutherford\ -"-LV Interim Building Offic al, Department of Development Services STATE OF CALIFORNIA ) SS COUNTY OF BUTTE ) On FeaQustQy I, before me, Public, personally appeared Seo -m � I- 1�41 I'LA..j Q0 Notary personally known to me to be the personksr whose nameks) is/,aFe-subscribed to the within instrument and acknowledged to me that he/meq executed the same in his/bafahamir authorized capacity(.i s. -, and that by his/bedibok signatureW on the instrument the person(; or the entity upon behalf of which the personks -acted, executed the instrument. WITNESS my hand and official seal. i nature qM MCMI LM Cat mMon • 1667051 Nota►► Piba - COMOMM . c«.,q, 4b,pConaneuo.9 wAp6. 20 (Seal) COPY of Document Recorded 2 -Feb -2006 2006-0005385 Has not been compared with original BUTTE COUNTY RECORDER When recorded return to: County of Butte Department of Development Services Building Division 7 County Center Drive Oroville, CA 95965-3397 Space above for Recorder's Use (rev.7/05) Owner Name: Gregory Avina and -,-Sue E. Avina Building Permit No: 05-2916 (Storage) DEED RESTRICTION AND NOTICE OF LIMITED USE FACILITY I. WHEREAS, on this 12th day of January, 2006, Gregory Avina And Sue E. Avina hereinafter, referred to as owner(s), is the record owner of the following real property: 1665 Swedes Flat Rd. Bangor, Ca. 95914 Assessors Parcel Number 028-470-010 , and as further set forth in Exhibit "A" attached hereto and hereby incorporated by reference, hereinafter referred to as "the subject property"; and II. WHEREAS, the Building Division of the Butte County Department of Development Services is acting on behalf of the People of Butte County; and III. WHEREAS, the owner applied to the Building Division for a building permit in order to develop the subject property described above; and IV. WHEREAS, Building Permit No. 05-2916 was applied for on October 24, 2005 by the owner in accordance with the provisions of the Butte County Code and the California Building Code; and V. WHEREAS, the use allowed by Building Permit No. 05-2916 has been reviewed and approved for only the limited purposes set forth below; and VI. WHEREAS, it is intended that this Deed Restriction and Notice of Limited Use Facility shall constitute an enforceable restriction and remain in effect until a change in use or character of use has been approved by the Butte County Building Official or a change in law has occurred, either of which change allows the uses otherwise restricted herein to be conducted on the real property described herein. Under either circumstance allowing such change in use, Owner shall be entitled to have this Deed Restriction and Notice of Limited Use Facility rescinded by the execution of a subsequent document entitled Rescission of Deed Restriction and . Notice of Limited Use Facility by the Director of Development Services; and VII. WHEREAS, Owner acknowledges that Owner will comply with the limited use restrictions that were incorporated in reviewing and approving Building Permit No. 05-2916 which enabled Owner to undertake the limited use authorized by this permit. NOW, THEREFORE, with the issuance of Building Permit No. 05-2916 to Owner by Butte County, Owner hereby affirms Owner's desire to develop a limited use facility, as set forth below, which establishes restrictions on the use and enjoyment of this limited use facility. The undersigned Owner, for himself/herself and for his/her heirs, assigns, and successors in interest, acknowledges and agrees to those restrictions. This limited use facility shall be utilized in compliance with those limitations prescribed by the California Building Code occupancy classification assigned by the building official, except the following uses are not allowed: no living, sleeping or cooking. Additionally, this area will not be heated or cooled. If any provision of these restrictions is held to be invalid or for any reason becomes unenforceable, no other provision shall be thereby affected or impaired. This deed restriction and. notice of limited use facility shall remain in full force and effect during the period that this permit, or any modification or amendment thereof, remains effective, and during the period that the development authorized by this permit, or any modification of this development, remains in existence in or upon any part of, and thereby confers benefit upon, the subject property described herein, and to that extent, this deed restriction and notice of limited use facility is hereby acknowledged and agreed to by Owner to restrict the use and enjoyment of this limited use facility and shall be binding on Owner and all his/her assigns or successors in interest. Scott Rutherford, Interim Building Official / J �06 Owner agrees to record this Deed Restriction and Notice of Limited Use Facility in the Recorder's Office for the County of Butte as soon as possible after the date of execution. This document shall be recorded and returned to the Butte County Department of Development Services, Building . Division prior to the issuance of Building Permit No. 05-2916. DATE: f e b- ;Z, Scott Rutherford, Interim Building Official 200( Owner Signature: . Print or Type Name of Above Owner Signature: Print or Type Name of Above NOTE TO NOTARY PUBLIC: If you are notarizing the signatures of persons, signing on behalf of a corporation, partnership, trust, etc., please use the correct notary jurat (acknowledgment) as explained in your Notary Public Law Book. STATE OF CALIFORNIA SS. COUNTY OF BUTTE ) On 2, 2V0�o efore me, n'1 Notary Public, person y appeared D` /h ' , personally known to me (or proved tom nn the haci� of -atisfactory evidence) to be the person(s) whose name(s)�Pre subscribed to the wit � instrument and acknowledged to me that e'erIt hey executed the same in l 'sl er/their authorized capacity(ies), and that by their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. ANN R AMWK NG COMMUM #f 1890350 La Notary Koff = Calnomlo &M ca, * MVCW=.Eq*n=ze, STATE OF CALIFORNIA SS. COUNTY OF BUTTE 0�Y,6 Public, persor4611y appeared (Seal) Notary personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose nam'6!54 is Ore subscribed to the within instrument and acknowledged to me that he/hey executed the same in his oheir authorized capacity(ies), and that by hi ear heir signature(s) on the instrument the person(s), or the entity upon behalf of whic-Fi the person(s) acted, executed the instrument. WITNE my ha d an official seal. Si ure06��I�� Scott Rutherford, Int rim Building Official t�3o/0� ANN R AMENKING CoMdalon #F 1890350 Notary tea = cwomk3 Bung courdy AAV Corm. Eq*w Aan Zb. 2004 (Seal) Isy Wi 1nu SP' S anlso Conuih ' .� tlnlrstA bnAtic - Ccglotuin e Cawuei * 1260220 V1414 6 V*MK114L wh Caw+' E 'W SV soot .� SNta ConLPA 4 { COUAUIU U J em20 VM14 b MYpO1RL' This is to certify that the Deed Restriction set forth above is hereby acknowledged by the Director of the Department of Development Services and that Butte County consents to its recordation thereof. Dated: Scott Rutherford\ -,--LV Interim Building Offic al, . Department of Development Services STATE OF CALIFORNIA ) SS. COUNTY OF BUTTE ) On before me, ►M M` f"�► �-f , Notary Public, personally appeared Se -o -n- J2u-r4E►2Fo,26 personally known to me to be the person.(} whose name,(,&) is/awsubscribed to the within instrument and acknowledged to me that he/shstt�i executed the same in his/bafab,,;�r authorized capacity(ie, , and that by his/bed1bak signatures on the instrument the person{W; or the entity upon behalf of which the person4s,�acted, executed the instrument. WITNESS my hand and official seal. i nature WA MCM M C*mmMon f 1567051 euft county► t�vcom�n. a w�pars, zo (Seal) a BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM ' (One form per Building) School District Cii'(JU/ . ra h Building Department No. A.P. Number 0R"•�/�%/I'%��O Jurisdiction: City County Property Owner Property Location/A Subdivision Lot No. Residential Development /© Q ..............................................................:...................................... Q Q Sq. Footage No of Living Mobile Home Addition/ 'Supplemental to (Group R) Units Installation Conversion Permit # :.............................................................. *(No foundation Inspection) ....................................... (Deed Restricted Sq. Footage (Attach a signed copy of Deed Restriction and Notice of Limited Use Facility document) Commercial/Industrial Q Q Sq. Footage New Addition . (Including Exterior Areas) ^^ 460 //Roofed Building Department Representative Date y District Identification No. " 6 0 1 b 1 Oroul 6 o ht o n �� h School District certifies that r;A� � ►' � � V-11 h .1• L r t �'f (Applicant) uv, Swed.os Fle�,\- R U -7g - 0--7 3� (Street Address) (Phone Number) , ' r (City) has complied with the requirements of Resolution No. representing a square feet. I cs,� School District Paid by Check # Remarks: (State) TS-- 19-�) (Zip Code) by payment of $ '9UT , -7 k0 AB 2926 $ FULL MRIGATION $ Date Nodes: You may protest the Imposition of the less Identified above by submitting a written protest to the District, In compliance with Govemnart Core section 66020(a), within 90 days from the dab fees are paid. Failure to submit a timely wrltbn protest wlll'prohibit you from ch@IWVing tin Imposition of the lees In any court action. If, subsequent to the school District Representative signing this Butte County schools Impact Fee certification Form, the school District Is ratified by the applkabe Local Planning Agency that the project Is being reviewed under ttw Cailforne Environmental QualNy, Ad (CEQA) Oft p may be subjed to additional school less to fully mitigate. Its Impact on the school di &kit admis. White (applicant), Yellow (building department), Pink (school district) i feeform.xls 00103)dmm BUTTE COUNTY DEVELOPMENT FEE CERTIFICATION FORM FEATHER RIVER RECREATION AND PARK DISTRICT (FRRPD) ❑ CHICO AREA RECREATION AND PARK DISTRICT (CARD) ❑ PARADISE RECREATION AND PARK DISTRICT (PRPD) ❑ DURHAM RECREATION AND PARK DISTRICT (DRPD) Assessor Parcel Nurnber (s) La R"- Lel 7Cj"�jj l () Building Permit Number - 2 q/(o Property Owner (s Project Location Subdivision Name Assessable Sq. Ftge ����f Type of Residential Development (check one) New Development Single Family -Detached Single Family -Attached Alteration/Addition(s) Non -Residential to Residential Multi -Family Dwelling Mobile home Mobile home replacement verified by Assessor Department Demo Permit date issued11L *��) verified by Building Department Comments: IS T q ❑ FRRPD 0 CARD ❑ PRPD ❑ DRPD certifies that: Applicant Name Mailing Address Phone Number City State Has complied with requirements of the Butte County Board of Supervisors Resolution No. by Payment of. Dwelling Units @ $ Square Feet @ $ _ Remarks: Paid by Check No: on and Park District Paid by Cash: V AVnDT AC1D1 TTT TITh: VnDl. A C1-1, . — A—A Pn — 7 Anr. per unit for a total of $ per sq foot for a total of $ Receipt No: Zip HAV521 IG COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES —BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE, CA 95965 PHONE (530)538-7541, FAX (530)538-2140 SCHEDULE OF RECEIPT OF FEES Website: www.buttecounty.net/dds OWNER _ - M n I _cSut k V re gnrV PRO ED BUILDING USE BUILDING PERMIT FEES --- Balance Due ..................... $ I _ nU S Iii --- FEMA Flood elevation review ...$' --- Additional plan checking Fee.... $ 2. SCHOOL DISTRICT FEES 0(()V 1 J J*, 1 Q (paid at School District Office) (form available afte lan Check) 3. SHERIFF FEES (paid at Building Division) Commercial (sq. ftg.)..... X $0.03 = $ Sq.Ftg. 4. RECREATION DISTRICT FEES Vf (lf*V_ V&Qr (paid at Recreation District Office) (form available after Plan Check) RESIDENTIAL DEVELOPMENT IMPACT FEES COUNTY WIDE (per dwelling) $ CHICO URBAN AREA (per dwelling) $ EL MEDIO FIRE DISTRICT (per dwelling) $ NORTH CHICO SPECIFIC PLAN (per dwelling) Zoning A.P. # DATE I0 -2y -DS RECEIPT # DATE REC. t_'p�D 6. SRA FIRE INSPECTION AND PLAN CHECK FEE $204.98 (paid at Building Division) 7. WATER TENDER FEES BATTALION # $200.00 (paid--FAudilding Division) SMIP Tq .qqj 9. DRAINAGE FEE 10. OTHER 11. OTHER At time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. These fees may be changed during the plan checking process. APPLICANT�ircgJ DATE Pursuant to Government Code Section 66020, you are hereby notified that items, 2, 3, 4, 5, 6, 8, 9, and 10 above may have been imposed on your project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a). Original -Building Division Yellow -Applicant Pink -Owner (rev. 7/05) Depart merit C- n ii n t ' j. Michael Crump �IcWaF� of Public f B Q t \Ylorks LAND DEVELOPMENT DIVISION Storm Water Management Program 7 County Center Drive Oroville. CA 95965 (530) 538-7266 (FAX) 538-7171 National Pollutant Discharge Elimination System (NPDES) Phase 11 Construction Storm Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgement jLESS THAN 1 ACRE a Project Description: Project Location andlor Parcel Number: C) T By signing below, L the project ownerlowner's agent, certify that this project WILL NOT DISTURB 1 acre or more of land and that L therefore, do not need to apply for a Construction Storm Water Permit f;on the State of California Regional Water Quality Control Board. Phased projects that contain multiple site build -outs of less than one acre but when combined with subsequent phases total more than one acre of disturbed soil will require a Construction Storm Water Permit from the State of California Regional Water Quality Control Board - I am aware that submitting false and/or inaccurate information or failure to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board for a project.' that disturbs one acre or more of land may result in revocation of grading and/or other permits or other sanctions provided by law. Signed: Title: Date: J BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTIONM OROVILLE: (530) 538-7636 - CHICO: (530) 891-2834 OFFICE 9: (530) 538-7541 A FEE 1-VILL BE REO-UIRED AT TIME OFAPPLICA TION Website: www.buttecounty.net/dds **PLEASE PRINT CLEARLY** APPLICANT NAME OWNER Last Namer � irst Name 7 `D r •S Y F Ad re City Book City Zip State Zip Phone l Phon � � , Fax E-mail Class APPLICANT NAME CONTRACTOR Name 1 � .� 7 `D r •S Y � Address City Book State Zip Planner State License Number Phone l F- 79 Qom/ maitic. # Class APPLICANT NAME ARCHITECT/ENGINEER Name r Address 16 7 `D r City g6L A State / Y Zip�� P a .. Book Fax E -m T— Planner State License Number APPLICANT NAME Name Address City State Zip Phone Fax E-mail APPLICANT SIGNATURE X For office use only: Zoning Property Address Flood Zone I X I SRA es No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: r)VFR P( -)R CI IRMITTAI RFll111RPMFNT.q PERMIT NO. BIN # A —10 LOCATION AP# 0 2 o Property Address Cily Cross Street WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address Description or Scope of Work: mo Sq. Footage ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check -fees for work plan checked and other department costs are not refundable. Received by: K17. Receipt #:),I q Dg - Date: 10- L p�, Amount COSI 2 Bldg ,�/pZI ..q$ SRA Sheriff SMTP Other Total BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #:(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #:(530) 538-7541 FAX#: (530) 538-2140 WEBSITE: www.buttecounty.net\dds ?'. PROJECT INFORMATION Site Address: 1665 SWEDES FLAT RD Owner: Permit No: B06-2264 APN: 028-470-010 AVINA, GREGORY & SUE E Issued Date: 01/12/2007 By TMP Permit type: MISCELLANEOUS 1665 SWEDES FLAT RD Subtype: Ag Exempt BANGOR, CA 95914 Expiration Date: 01/12/2008 Description: TRACTOR IMPLEMENT STORAGI (530) 673-0735 Occupancy: U-3 Zoning: MR Contractor Applicant: Square Footage: AVINA, GREGORY & SUE E Building Garage Remdl/Addn 1665 SWEDES FLAT RD BANGOR, CA 95914 Other Porch/Patio Total 4,000 4,000 r FEE INFORMATION Ag Exemption Permit $109.98 Total Charged: $109.98 Fees Paid: $109.98 Balance Due: $0.00 Receipt No: B208 LICENSED CONTRACTOR'S DECLARATION OWNER / BUILDER DECLARATION Contractor (Name) State Contractors License No. / Class / Expires I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a permit to construct, atter, improve, demolish, or repair any structure prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000) is in full force and effect. of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects X 01/12/2007 the applicant to a civil penalty of not more than five hundred dollars [$500); Please check one of the following: Contractor's Signature Date ❑ I, AS OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE COMPENSATION, WILL DO THE WORK, AND THE STRUCTURE IS NOT INTENDED OR OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of the property, who builds or improves thereon, and who does WORKERS' COMPENSATION DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: HAVE the work himself or herself or through his or her own employees, provided that such improvements ❑I AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR are not intended or offered for sale. If, however, the building or improvement is sold within one WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the year of completion, the owner -builder will have the burden of proof that he or she did not build or performance of the work for which this permit is issued. 'mprove for the purpose of sale.). I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by �( i, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED IIIIIILLLJJJ CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. The Contractor's License Law dows not apply to an owner of the property who builds or improves My Workers' Compensation insurance carrier and policy number are; thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractor's License Law.). Cartier: Policy Number. Exp. Date: (This section nee not a competed if the permit is or one hundred dollars ($100) or esss.) ❑ 1 AM EXEMPT under Section B. 8 P.C. for this reason: ❑I CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED, I shall not employ any person in any manner so as to become subject to the Workers' ` Compensation taws of California, and agree that if I should become subject to the workers'.X 01/12/2007 compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with thoe Owner's Sign ur Date provisions. X01/12/2007 I hereby certify that I have read this application and state that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and State laws relating to building Signature Date WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless Butte County, its officers, agents and employees from any and all claims and liability for personal AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, the isry, including of death, and property damage caused t is arising out of, a in any way connected with the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND ATTORNEY'S FEES. use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte County to enter the above entioned property for inspection purposes. I hereby certify that I am the pro owner or am a ed to act on the owner's behalf. d' CONSTRUCTION LENDING AGENCY Carty - `e NA 01/12/2007 IHEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for Name of P ttee [SIGN] Print Date the performance of the work for which this permit is issued. (3097 civ. code) Owne Contractor OR; E]Agent for Owner ❑Agent for Contractor FILE COPY Lender's Address City State Zip BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #:(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #:(530) 538-7541 FAX#: (530) 538-2140 WEBSITE: www.buttecounty.net\dds PROJECT INFORMATION Site Address: 1665 SWEDES FLAT RD Owner: Permit No: B06-2264 APN: 028-470-010 AVINA, GREGORY & SUE E Issued Date: 01/12/2007 By TMP Permit type: MISCELLANEOUS 1665 SWEDES FLAT RD Subtype: Ag Exempt BANGOR, CA 95914 Expiration Date: 01/12/2008 Description: TRACTOR IMPLEMENT STORAGI (530) 673-0735 Occupancy: U-3 Zoning: MR Contractor Applicant: Square Footage: AVINA, GREGORY & SUE E Building Garage Remdl/Addn 1665 SWEDES FLAT RD BANGOR, CA 95914 Other Porch/Patio Total 4,000 4,000 FEE INFORMATION Ag Exemption Permit $109.98 Total Charged: $109.98 Fees Paid: $109.98 Balance Due: $0.00 Receipt No: B208 LICENSED CONTRACTOR'S DECLARATION OWNER / BUILDER DECLARATION Contractor (Name) State Contractors License No. / Class / Expires I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000) is in full force and effect. of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the X basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil of not more than five hundred dollars 01/12/2007 penalty [$500]; Please check one of the following: Contractor's Signature Date ❑ I, AS OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE COMPENSATION, WILL DO THE WORK AND THE STRUCTURE IS NOT INTENDED OR OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractofs License Law does not apply to an owner of the property, who builds or improves thereon, and who does WORKERS' COMPENSATION DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: HAVE the work himself or herself or through his or her own employees, provided that such improvements ❑I AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR are not intended or offered for sale. If, however, the building or improvement is sold within one WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the year of completion, the owner -builder will have the burden of proof that he or she did not build or performance of the work for which this permit is issued,prove for the purpose of sale.). ❑ I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED LLLLLLJJJJJJ CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My Workers' Compansation insurance carrier and policy number are; The Contractors License Law dows not apply to an owner of the property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractors License Law.). Carrier. Policy Number: Exp. Date: (This section need not be competed if the permit is or one hundred dollars ($100) or less. ❑ 1 AM EXEMPT under Section B. & P.C. for this reason: ❑I CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED, I shall not employ any person in any manner so as to become subject to the Workers' Compensation laws of California, and agree that if I should become subject to the workers' X 01/12/2007 compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those Owner's Sig ture Date provisions. X 01/12/2007 I hereby certify that I have read this application and state that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and State laws relating to building Signature Date WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, construction, and with any and all conditions of permit. I agree to defend, indemnity, and hold harmless Butte County, its officers, agents and employees from any and all claims and liability for personal AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, injury, including death, and property damage caused arising out of, in any way connected with DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND the issuance of this permit. I hereby acknowledge thatt is issuance of this pea rmit does not authorize the use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte ATTORNEY'S FEES. County to enter the abMentioned property for inspection purposes. I hereby certify that I am the pro a owner or am t ized to act on the property owners behalf ho.01/12/2007 CONSTRUCTION LENDING AGENCY 1 HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for Kame of Pttee [SIGN] Print Date the performance of the work for which this permit is issued. (3097 civ. code) 91 Owner ❑ Contractor OR. DAgent for Owner Agent for Contractor INSPECTOR COPY Lender's Address City State Zip BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION Website: www.buttecounty.nettdds "PLEASE PRINT CLEARLY" OWNER INFORMATION Last NameAv 1-(-\ (-\ (k l• irshl f/eJ Address City State 5 y I Phone 6-73 -0-7 3!� Fax r-70) 00,g) E-mail APPLICANT INFORMATION CONTRACTOR Name City Address Zip City Fax State Zip Phone Type Const. Fax E-mail Lic. # Class APPLICANT INFORMATION ARCHITECT/ENGINEER Name City Address Zip City Fax State Zip Phone Type Const. Fax E-mail State License Number APPLICANT INFORMATION Name QwrJer Address City State Zip Phone Fax E-mail APPLICANT SIGNATURE . W - X For office a ly: AN 34�1r-ao Zoning AfR I Flood Zone SRA IYe No Occ. Type Const. Name Su ivisio Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS K:\FORMS\BUILDING FORMS\B1dgApp1SubRgmts.doc PERMIT NO. Q�-2z BIN # If T LOCATION AN 34�1r-ao Prop rv5diress S 5we es City 64yko r Cross Street WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address I Page 1 of 2 Description or Scope f Work: Sq FT- Living Garage I 01pen Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be required. REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Received byAmount: ( L W"—Bldg SRA Receipt#: [3-;R0 191/ Sheriff SMIP Date: q— � /_O / Other Total REV 8-12-05 �� 1 Butte County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 75965 (530) 538-7601 Telephone (530) 538-7785 Fax www.buttecounty.net/dds OWNER -BUILDER INFORMATION An application for a building permit has been submitted in your name listing yourself as the builder of the property improvements specified. For your protection you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: ° If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $500 or more for the entire project and such persons are not licensed as contractors or subcontractors, then you may be an employer. ° If you are an employer, you must register with the state and federal government as an employer and you are subject to several obligations including state and federal ° income tax withholding, federal social security taxes, workers/ compensation insurance, disability insurance costs, and unemployment compensation contributions. There may be financial risks to you if you do not carry out these obligations, and these risks are especially serious with respect to workers' compensation insurance. ° For more specific information about your obligations under federal law, contact the Internal Revenue Service (and, if you wish, the U.S. Small business Administration). For more specific information about your obligations unders state law, contact the Department of Benerit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform thier work personally or through thier own employees, without a license contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractor is to secure an "owner -builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contacting the Contractors' State License Board's automated telephone information system at 1-800-321 -CLSB (2752) or by accessing thier website at www.CSLB.ca.gov. PLEASE COMPLETE AND RETURN THE ENCLOSED OWNER -BUILDER VERIFICATION FORM SO THAT WE CAN CONFIRM THAT YOU ARE AWARE OF THESE MATTERS. THE BUILDING PERMIT WILL NOT BE ISSUED UNTILL THE VERIFICATION IS RETURNED. OWNER BUILDER VERIFICATION PLEASE COMPLETE THIS FORM AS REQUIRED BY THE STATE OF CALIFORNIA (SENATE BILL NO. 831 EFFECTIVE JULY 1, 1980). NO BUILDING PERMIT WILL BE ISSUED UNTIL THIS VERIFICATION IS RECEIVED. I PERSONALLY PLAN TO PROVIDE THE MAJOR LABOR AND MATERIALS FOR CONSTRUCTION OF THE PROPOSED PROPERTY IMPROVEMENT. (YES OR NO) 2. I (HAVE/HAVE NOT) SIGNED AN APPLICATION FOR A BUILDING PERMIT FOR THE PROPOSED WORK. 3. I HAVE CONTRACTED WITH THE FOLLOWING PERSON (FIRM) TO PROVIDE THE PROPOSED CONSTRUCTION: ADDRESS CITY PHONE CONTRACTORS LICENSE NO 4. I PLAN TO PROVIDE PORTIONS OF THE WORK, BUT I HAVE HIRED THE FOLLOWING PERSON TO COORDINATE, SUPERVISE, AND PROVIDE THE MAJOR WORK: NAME ADDRESS CITY PHONE CONTRACTORS LICENSE NO 5. I WILL PROVIDE SOME OF THE WORK BUT I HAVE CONTRACTED (HIRED) THE FOLLOWING PERSONS TO PROVIDE THE WORK INDICATED: NAME ADDRESS PHONE TYPE OF WORK Paw 1 SaMrvkerS L'iadAkwse LK bcv^or 671 v2 35 Geh . lnh`hr6,06r Description: TRACTOR IMPLEMENT STORAGE Reference Number: B06-2264 Applicant Name: AVINA, GREGORY &SUE Signature of Property Owner: V Date: Z BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #:(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #:(530) 538-7541 FAX#: (530) 538-2140 WEBSITE: www.buttecounty.net\dds AGRICULTURAL BUILDING EXEMPTION STATEMENT Agricultural building is defined as follows: Agricultural building is a structure designed and constructed to house farm implements, hay, grain, poultry, livestock, or other horticultural products. This structure shall not be a place of human habitation or a place of employment where agriculrural products are processed, treated or packaged, nor shall it be a place used by the public. Buildings used for purposes other than described above or that are located in a flood hazard zone are not eligible for an agricultural exemption. Authorization of an agricultural exemption permit by the Department of Development Services does not preclude any requirements and/or review by the Butte County Public Works Department, Butte County Fire Department, Butte County Environmental Health, or any state and federal agencies Initials—AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields. Initials LAI— AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, is =10 feet from a manufactured home, and 23 feet from a commercial/industrial buildings Initials/j/ --AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum 23 feet from a residence and a manufactured home, and 40 feet from a commercial/industrial buildings Site Address: 1665 SWEDES FLAT RD Permit No: B06-2264 APN: 028-470-010 Square Footage: 4,000 Permit Type: MISCELLANEOUS Occupancy: U-3 Permit Subtype: Ag Exempt Zoning: MR Description: TRACTOR IMPLEMENT STORAGE Required Setbacks: Applicant: AVINA, GREGORY & SUE E Front: 50' Side: 20' Rear: 20' 1665 SWEDES FLAT RD Type of Construction: BANGORCA95914 Type of Siding: Metal Owner: AVINA, GREGORY & SUE E Est. Const. Cost: $ 20,000.00 1665 SWEDES FLAT RD Roof Covering: Metal BANGOR, CA 95914 (530) 673-0735 Floor Type: Concrete I declare under penalty of perjury that the building will be used as stated above, and the proposed use conforms with the AG Building definition. If any change in use or occupancy of the building is made, I will contact the Building Divison and obtain the necessary permits, inspections and approvals to comply with the requirements in effect at that time and for to occupancy. Signature of owner: Date: 09/21/2006 FILE COPY BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #:(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #:(530) 538-7541 FAX#: (530) 538-2140 WEBSITE: www.buttecounty.neAdds AGRICULTURAL BUILDING EXEMPTION STATEMENT Agricultural building is defined as follows: Agricultural building is a structure designed and constructed to house farm implements, hay, grain, poultry, livestock, or other horticultural products. This structure shall not be a place of human habitation or a place of employment where agriculrural products are processed, treated or packaged, nor shall it be a place used by the public. Buildings used for purposes other than described above or that are located in a flood hazard zone are not eligible for an agricultural exemption. Authorization of an agricultural exemption permit by the Department of Development Services does not preclude any requirements and/or review by the Butte County Public Works Department, Butte County Fire Department, Butte County Environmental Health, or any state and federal agencies Initials G Buildings shall be a minimum of five (5) feet from any septic tank or leach fields. Initials AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, 10 feet from a manufactured home, and 23 feet from a commercial/industrial buildings Initials k --AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum 23 feet from a residence and a manufactured home, and 40 feet from a commercial/industrial buildings Site Address: 1665 SWEDES FLAT RD Permit No: B06-2264 APN: 028-470-010 Square Footage: 4,000 Permit Type: MISCELLANEOUS Occupancy: U-3 Permit Subtype: Ag Exempt Zoning: MR Description: TRACTOR IMPLEMENT STORAGE Required Setbacks: Applicant: AVINA, GREGORY & SUE E Front: 50' Side: 20' Rear: 20' 1665 SWEDES FLAT RD BANGORCA95914 Type of Construction: Type of Siding: Metal Owner: AVINA, GREGORY & SUE E Est. Const. Cost: $ 20,000.00 1665 SWEDES FLAT RD BANGOR, CA 95914 Roof Covering: Metal (530) 673-0735 Floor Type: Concrete I declare under penalty of perjury that the building will be used as stated above, and the proposed use conforms with the AG Building definition. If any change in use or occupancy of the building is made, I will contact the Building Divison and obtain the necessary permits, inspections and approvals to comply with the requirements in effect at at time and 'or to occupancy. Signature of owner: Date: 09/21/2006 INSPECTOR COPY REC®RM REQUESTED BY: WD VALLEY TITLE RECORDING REQUESTED BY First American Title Company AND WHEN RECORDED MAIL TO: Gregory A.: Avina and Sue E. Avina 1665 Swedes Flat Road Bangor, CA 95914 i r �h-=�jggq%T\/ 2004-0.0251 44 Recorded OfficialRecords Count BUTTf E CANDACE J. GRUBBS Recorder ROSEMARY DICKSON Assistant 09�00AM 30 -Apr -2004 REC FEE 13.00 TAX 273.90 Kathy Page 1 of 3 Above This Line for Recorder's Use Only A.P.N.: 028-470-010-000 File No.: 5801-1366683 (TP) - GRANT DEED The Undersigned Grantor(s) Declare(s): DOCUMENTARY TRANSFER TAX $273.90; CITY TRANSFER TAX $0.00; SURVEY MONUMENT FEE $ X computed on the consideration or full value of property conveyed, OR computed on the consideration or full value less value of liens and/or encumbrances remaining at time of sale, x ii unincorporated area; [ ] City of Bangor, and I FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, Richard P. Smaw, Successor Trustee of the Smaw Living Trust, dated November 14, 1991 hereby GRANTS to Gregory/ Avina and Sue E. Avina, husband and wife as Joint Tenants the following described property in the unincorporated area of , County of Butte, State of California: Dated: 04/14/2004 (Z ISD P. <':&4 '4vea"Aop— Trusteet of the Smaw Living Trust, dated November 14, 1991 Richard P. Smaw, Successor Trustee I i f Mail Tax Statements To: SAME AS ABOVE A.P.N.: Grant Deed - continued File No.:5801-1366683 (TP) Date: 04/14/2004 STATE OF Ca11fDrn(* } a }ss. COUNTY OF , On r l i i q a 00 ( before me, -an l M C personally appeared % Ch 4.ir mq m ceesSOf Ce personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies) and that his/her/their signature(s) on.the -instrument the person(s).or the_ _ entity upon behalf of which the person(s) acted, executed the instrument. WITNESS my hand and official seal. This area for o>fciai notarial seal Sig ature Commission r i i I Page 2 of 2 TAMMY R. FRITSCH Commission # 1400821 Notary Public - Callfomla Yuba County My Comm. Expires Feb 14, 20 Order No. BU -21998 JV Description The land referred to herein is situated in the State of California, County of Butte, and is described as follows: A PORTION OF THE WEST ONE-HALF OF SECTION 1, TOWNSHIP 18;NORTH, RANGE 5 EAST, M.D.B. & M., BUTTE COUNTY, CALIFORNIA, MORE PARTICULARLY DESCRIBED AS FOLLOWS: BEGINNING AT THE WEST QUARTER CORNER OF SAID SECTION 1, AND RiJNNING ON ANI)'--- ALONG ND---ALONG THE EAST -WEST MIDSECTION LINE OF SAID SECTION 1, NORTH 89° 33' 16 -'EAST, 1319.51 FEET TO THE TRUE POINT OF BEGINNING OF THIS DESCRIPTION; THENCE LEAVING SAID EAST -WEST MIDSECTION LINE, NORTH 0° 23'40" EAST, 1334.00 FEET; THENCE NORTH 890 42' 40" EAST, 1316.62 FEET TO A POINT IN THE NORTH -SOUTH MIDSECTION LINE OF SAID SECTION 1; THENCE ON AND ALONG SAID NORTH -SOUTH MIDSECTION LINE, SOUTH 00 16' 19" WEST, 1010.12 FEET; THENCE LEAVING SAID NORTH -SOUTH MIDSECTION LINE OF SAID SECTION 1, THE FOLLOWING COURSES: NORTH 890 43' 41" WEST, 204.90 FEET; SOUTH 19° 57'.54" WEST, 654.97 FEET; NORTH 630 05' 34" WEST, 633.49 FEET; SOUTH 89° 33' 16" WEST, 327.56 FEET TO THE. TRUE POINT OF BEGINNING OF THIS DESCRIPTION. APN 028-470-010-000 N. rR PERMIT NO. r : 5188-74B,E - - - P ,.. E I M r `MH UTIL. r 'PERMIT NO. YY { PERMIT EXPIRES {► OWNER Frank Slflaw -CONTR. LOCATION (A.P. 28-17-79 ) l n/s Swedes Flat Rd, 2 mi. W. of Robinsor. 4, Mill Rd, Oroville a E I i. 1 • F V 1r r I IL 1 . e Temp. Power Pole Called PG&E l Temp. Elec. Serv. i galled PG&E",—... r T mp. Gas Serv. Called PG&E JOB4 FINALED (Date) (Signature) j 4i1 { { r+J; COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Setback Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor_. Footings Windows 3rd Floor Stemwall Siding To out Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Garage Vents Water Htr. Stemwall Slab `�— -� ?6-- Prov. for physically handicapped Heaters Appliances Carport Footings - Conformance of ex. structure Gas Piping & Test Temp. Gas Slab Final "" Sanitation Patio FIREPLACE Final Footings Footing gLE Masonry Walls Throat Rough Reinf. Steel Final Fixtures Bond Bea5 FIRE SPRINKLERS Motors Framin V"�--' Test Water Htr. Stucco Final Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratch Heating.Service Brown Coolink Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final DATE-- REMARKS OR CORRECTIONS S 41;1-4 % G iltG'0 ?race COUNTY OF BUTTE — DEPARTMENT OF PUBLIC W/ VV 7 County Center Drige -fbroville, California 95965 QQ Telephone: 534-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. Signature of Pe mitee or Agent Receipt No. /.� 1,710 9-9 White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR 0 PUBLIC WORKS BY Date uilding permit expires Date .......................... 7 BUILDING Owner FRAW' ^p(/ SQ. FT. OCC. BUILDING VALUATION r Mailing Address (���D (' N�v/�To C/4yCj Telephone No. i 9�a8�8 Fireplace Contractor ©W AIF -1— Total Valuation Q Mailing Address Permit Fee Plan Checki ng Fee &/or Penalty Telephone No. Permit Fee $ I $ Building Address EDD F1,47- R� V-5 PLUMBING No. @ FEE PERMIT FILING FEE $2.00 1/l% a f /e Q //� Q 1� I�'J Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. ZoningGas & Planning piping system 1 - 5 outlets 1.50 Each additional outlet .30 F S ion Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans I Parcel Declaration Parcel Ma p 60' R/W Im provem nts Lawn sprinkler system 2.00 Bldg. Pl�d Parce Approval Plans 4 proval Permit Fee $ NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 3,00. Main service incl. 1 meter Additional meters each 1.00 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Sub -panel (12 ess) (morethanl2) ♦5('� Range, Cook -top or Oven 1.00 /4444 Water Heater or Space Heater 1.00 Light fixtures bal 20 r S� Re eps., swit hes & fix omits CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap, cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License No. Classification Misc. wiring I am exempt from the Contractors License Laws of the State of California. Permit Fee $ o E WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑ I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No.1 @ FEEPERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby TOTAL PERMIT FEE $ ®C authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. Signature of Pe mitee or Agent Receipt No. /.� 1,710 9-9 White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR 0 PUBLIC WORKS BY Date uilding permit expires Date .......................... 7 L. .PAI.60YILNT OF CONSERVATION DIVISION OF FORESTRY BLOCK I.-I-DENT-I•F-ICA-T-IOINf- �: FIRE REPORT A. FIRE NUMBER: C. RANGER UNIT: E. ZONE OF ORIGIN: B. SPECIFIC CAUSE -- FUEL TYPE: F. SIZE CLASS: B. NAME OF FIRE: D. DATE FIRE STARTED: G. FIRE CLASS: S UI/. D/IYEt t 5re) Aw ?_ - f` 7 BLOCK II. CAUSE A. GENERAL CAUSE B. B. SPECIFIC CAUSE -- FUEL TYPE: KNOWN LOGICAL C. CAUSAL AGENT LOCAL °' ;;�i-,L�? ��_ KNOWN NON -LOCAL I LOGICAL D. FALSE ALARM E. PERMIT ESCAPE I JIF. NON PERMIT BLOCK III. LOCATION OF ORIGIN A. SECTION . TWP:%e N RGE. G B IN MMD B. FIRE STARTED ON/IN �� L C. FUEL TYPE: D. PROTECTION JURISDICTION E. FIRE ON ARRIVAL 1. SIZE: SPOT ACRES (FOREST FIRES ONLY) 2. -DISTANCE FROM HEAD OF FIRE TO ORIGIN FT. SKETCH TOTAL AREA BURNED ' F. D 60D BLOCK VI. WEATHER A. ESTIMATED WIND ON ARRIVAL: VELOCITY: Q' I DIRECTION: % TOTAL XXXXXXX XXXXX 34 600 B. FOREST IMPROVEMENTS I I I I XXXXX B. TEMPERATURE: RELATIVE HUMIDITY: FUEL MOISTURE: WIND DIRECTION: WIND VELOCITY: XXXXX XXXXX XXXXX XXXXX TOTAL XXXXXXX 'XXXXX 1 C. FOREST PRODUCTS I 1 I I 1 SCALE: I"= MILE(S) C. FROM: STATION BLOCK V. AREA BURNED VEGETATIVE TYPE ACRES BLOCK VII. REMARKS AN SAN K A. SM SWCEUs F LA7 �i/�`� ��- TOTAL AREA •--�^��^ BLOCK IV. DAMAGE A. NON=FOREST IMPROVEMENTS NO. UNITS DAMAGE DAMAGE OF FIRE ' RECREATION LOSS D 60D TOTAL XXXXXXX XXXXX 34 600 B. FOREST IMPROVEMENTS I I I I XXXXX XXXXX XXXXX XXXXX XXXXX TOTAL XXXXXXX 'XXXXX 1 C. FOREST PRODUCTS I 1 I I 1 6XXXXXXIXXXXXI TOTAL -4;;)-• I I I D. FOREST AND OTHER VEGETATION I I 1 I I I I 1 I 1 TOTAL XXXXXXX XXXXX -0- GRArj,p TOTAL (A -B -C -D) DAMAGES S ,3,0pr)o,.. D/OR OWNERS P� • BLOCK VIII. SIGNATURES ESTIMATED WATERSHED DAMAGE OF FIRE ESTI MATED RECREATION LOSS �!�(J\� p a!� L?— Ll ti�P.� , RANGER OR A. ORIGINAL REPORT BY B. RANGER'S SIGNATURE AME NAME TITLE Ti tat Amnevi ;1H Util. PERMIT NO. _5189-74P,E P Q._t It Owner ING VALUATION Mailing Address Iin E M Contractor �_. MH UTIL. Mailing Address �C, PERMIT NO. PERMIT EXPIRES T — / CG $ 'Building Address No. @ FEE v r OWNER Frank SI1laW $3.00 ONTR. 1.50 1.50 OF K O �i ✓I -Tt N IW 14.E LOCATION (A.P. 28-1 — 1.50 1.50 A. P. No. tv,�j _lie c n/_ s edes Flat Rd, 2 mi. Wo of Rob -ns 1.50 Fee ,nrc. s� Fire 141 Rd. Oroville .30 EQA Parking Parcel //d �.� 5'0 Plans Declarat' n 2.00 Bldg. ans Recd` NEW ADD ION 1y-GL,�11_/`'� Ole— FEE l $3.00 1 1.00 Single Family Duplex �-- 1.00 1.00 2d r CO TRACTO - ' 1.00 I am licensed un er the pr( _14re14 0 State of California usines; styl�/of: �.A! `\' A-) b ` 5,.00 A5.00 License No. % _ COV I am exempt from the Contra( $ $ WORKMEN'S CON NO- @ FEE I am aware of the provisions - $3.00 Code which requires every er for Workmen's Compensation. (Temp. Power Pole I have placed on file wit �—+ Workmen's Compensation Called PG&E I certify that in the peiTemp. Elec. Serv. permit .is issued I shall r Called PG&E so as to become subject to I California. Temp. Gas Serv. 0._ 2.00 ed PGX1 I certify that I have read thi: information is correct. I agre and State Laws relating tc JOB > LJ authorize representatives of FINALED $ L - above -mentioned property for (Date) er the applicable provisions of solutions to do work indicated (Signature) aid. WORKS UBLIC Signature of Permitee or , a Receipt No.A, x" A7 Date 5— 7-6 — 71_ White-D.P.`N. — Yellow -Assessor e `PERMIT NO. 2339-78B f�PERMIT EXPIRES Frank &aw OWNER iCONTR. owner LOCATION (A.P. 28-17-79 ) fl H N/S Swedes Flat Rd., i mi.W.of Robinson l Mill Rd., Bangor Temp. Power Pole Cal led, P.G& E Temp. Elec. Serv. Called PG&E Temp. Gas Serv. Called PG&E V B ? FINALED J (Date) (Signatu e) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) (PLUMBING Setback _f Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwall Siding To out Slab z Roof Sheathing Water Piping Piers Roofing Sewer Garage X Fdn. Vents Fixtures Footings Stemwall Garage Vents Insulation Water Htr. Heaters Slab Carport Footings Prov. for physically handica ed Conformance of ex-loo,Gas structure Appliances PI in &Test Temp. Gas Slab Final Sanitation Patio FIREPLACE Final Footings Footing ELEC RICAL Masonry Walls Throat Rou h Reinf. Steel Final Fixtures ti Bond Beam S. 4224FIRES RINK ERS Motors i Framing Test Water Htr. ' Stucco Final I Subpanels Mesh MECH401CAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final MOBILEHOME UTILITIES - - - - - - - • - - - - Elec. Service Elec. Pedestal Water Piping Sewer Gas Piping . E MEIN TA LATI N --------------Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS (NOTE: An entry must be made on this form each time you visit the job site.) x , COUN *Y OF 13UTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive -v 4rov4lle, California 95965 Telephone: 534-4541 ���— APPLICATION AND PERMIT A u IclllcJclllallVCJ VI 1110 VVU1ILY VI DUIIG lV CALCI UPU11 Ultl above-mentioned property for inspection purposes. XAZalek_ ate IF Signature of Permitee or Agent Receipt No. If i V 17 White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF Rk:ffiLIC WORKS BV Date,5— J— 7f B ding permit expires Date •�� �� 7� BUILDING Owner m f VlJ SQ. FT. OCC. BUILDING VALUATION O t . •V *� Mai I i ng Address eon un, Y,4 LJ T.el hon Contractor y� P� Mailing Address Fireplace Total Valuation 9Y20.0 Telephone No. Permit Fee Building Address��� 1` ) Plan Checking Fee &/orPenalty Permit Fee ,o Q kn. 0J 0 1 Va PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 r Repair drainage or vent piping 1.50 A. P. No. �CR-7 9 Zoning & Planning Water piping 1.50 Each gas water heater or vent 1.50 F s LVSag9an Fire Dept. Fire Zone Use Permit Gas piping system 1 -5 outlets 1.50 EQA Parking P rcel Plans Declaration Parcel Map R/W Improvemen Each additional outlet .30 Building sewer 5.00 Bldg. Pla ec'd Parcel royal Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION UTILITIES ❑ OTHER ❑ Permit Fee $ $ v ELECTRICAL NO -1 @ FEE PERMIT FILING FEE $3.00 Main service 600V OR LESS 100 AMP LESS 5.00 Single Family Duplex Mobil Home Others ❑ ❑ ❑ -L Main service EA. ADD100 AMP 2.50 OVER Main service OVER 25.00 AMPP OR LESS O Main service EA. ADD'L 100 AMP 1.00 NEW CONST OR ADDNS. �ACCLBLOGSDWELING CCUP. 4) 2¢Sgft CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: NEW CONSTRESID, BRANCH CIRCUITS) NON-RESID, l BRANCH CIRCUITS) 2.50ea NEW CONSTR. I POWER APPARATUS 9 NON-RESID, I SINGLE OUTLET CIR. Ex. Occup{OUTLETS OR FIXTURES 5 L25 Ex. Occup.FIXED APPLES• OR OUTLETS (RESID•) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL iNo. @ FEEPERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County -Ordinances and State Laws relating to building construction, and hereby Land Development Fee $ TOTAL PERMIT FEE $ Q u IclllcJclllallVCJ VI 1110 VVU1ILY VI DUIIG lV CALCI UPU11 Ultl above-mentioned property for inspection purposes. XAZalek_ ate IF Signature of Permitee or Agent Receipt No. If i V 17 White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF Rk:ffiLIC WORKS BV Date,5— J— 7f B ding permit expires Date •�� �� 7� EPER� No. 1163=78B,P,E PERMIT EXPIRES Frank H. Smaw OWNER CONTR. owner LOCATION (A.P. 28-17-79 ) N/S $wedes Flat Rd., mi.W.of Robinson Mill Rd., Oroville �r i i ti -ic s Temp. Power Pole Called PG&E 1 Temp. Elec. Serv. alled PG&E T mp. Gas Serv. Called PG&E e� JOB / FINALED �Q. (Date) (Signature) I• 100 r To: Building Department From:. Enviro=ental Health Regardi,..g: Sewage and/or Water and/or Addition Clearance(s) Ow M91 LOCU ON A.P. No. Plans are approved for: Sewage-Disposal Water Supply Hold up Final for:. Water Supply Final Clearance • Oa for: Water Supply Clearance is fora bedroo((hor mobile home). Other omy The addition(s) will be Sanitarian Date Interior LathVentilation COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION' RECORD ' Permanent BUILD NG BUILDING (Cont'd) PLUMBING Setback�- Firewall Soil Piping Forms -go Parapets 0z 1st Floor o2 Main Bldg. Restroom Finis 2nd Floor Footings i Windows 3rd Floor Stemwall Siding To out Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings StemwaII Garage Vents 2------ Insulation Water Htr. Heaters Slab Carport Footings Prov. for phsically �_�� handica ed Conformance of ex. /p structure A liances Gas Piping &Test Temp. Gas Slab Fina Sanitation Patio (REPLACE Final Footings ootln ECT ICA Masonry Walls hroat Rough 3 5 Relnf. Steel Final Fixtures Bond Be 4FIRE SPRINKLERS Motors Framing Test Water Htr. AN— Stucco Final Subpanels OV Mesh MECHANICAL Gird. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish ,,,.� Ducts Underaround /I Interior LathVentilation Permanent Door Closer � Final Final MOBILEHOME UTILITIES Elec_ Service Elec. Pedestal Water Piping Sewer Gas Piping OBILEHOME INSTALLATION .............. Support Elec. Continuity Water Piping Drainage Gas Piping DATE �p �f REMARKS OR CORc�K CTIONS AI (NOTE: An entry must be made on this form each time you visit the job site.) To: Building Department From:- Enviro=ental Health Regarding: Sewage and/or Water and/or Addition Clearance(s) VA itF.R LOCATION A.P. No. Plans.are approved for: Sewage Disposal Hold up Final for: Final Clearance OK for: Clearance is for a bedroom (home o =mobilehome).Other The ad4dition(s) will be. Sanitarian Water Supply Water Supply. Water Supply t---- bate COUNTYZF.BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County genter Drive — Oroville, California 95965 Telephone: 44=4541 APPLICATION AND PERMIT /�3vf BUILDING Owner SQ. FT. OCC. BUILDING VALUATION O y� Mailing Address3T 1� t79 elephone No. Contractor 04 Mailing Address Fireplace V ` Total Valuation Telephone No. Permit Fee Building Address SSP PS a Plan Checking Fee&/or Penalty Permit Fee / D d / PLUMBING No. @ FEE PERMIT FILING FEE $3.00 L3, Each Trap 5 1.50 Repair drainage or vent piping 1.50 tA. P. Vo. 2 i'I — Zoning & Planning Water piping 1.50 Each gas water heater or vent 1.50- .50F1 F 1s I W/ Sa n Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 s. EQA Parking Plans Parcel Declaration Parcel Map 60' R/W Improv nts Each additional outlet .30 Building sewer 5.00 Bldg.Vans Rec'd= Parcel royal P ns Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION M UTILITIES ❑ OTHER permit Fee $ 1,71, ev$_7 /(J� 4) ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 3,Q� 600V OR LE Main service SS 10o AMP LESS 5.00 'Sin le Family Duplex Mobil Home 9 Y � P ❑ ❑ Others ❑ Main service E4. ADD100 AMP 2.50 w C� UNEW Main service OVER e00v 100 AMP OR LESS 25.00 Main service// EA. ADD'L 100 AMP 1.00 CONSl✓ OR AODNST ( AC X.S.CCUP. 7i� 20sgft j r CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style Of: Y NEW CONSTR. U T -OUTL T NON.RESID. ( BRANCH CIRCUITS) 2.50ea NEW CONSTR. (POWER APPARATUS & NON.RESID, SINGLE OUTLET CIR. EX. Occui)(OUTLETS OR FIXTIIRES) IBAL; FIXED APPLNS. OR Ex. Occup.(OUTLETS (RESIO.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 0-1 am exempt from the Contractors License Laws of the State of California. Permit Fee $ � $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. j� �I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEEPERMIT FILING FEE J$3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $/ f/(, I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby Land Development Fee $ TOTAL PERMIT FEE �$J.,,ey� 2le authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. Signature of ermitee or Agent Receipt No. d White-D.P.W. — Yellow -Assessor — Pink -Inspector —'Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees hay"n paid. DIRECTOR OF PUBLIC WORKS BY ate �—��o Buil ing permit expires Date _ "�� MH Util. "PERMIT NO. 5189-74P,E P E M ,MH UTIL. }PERMIT NO. i. PERMIT EXPIRES DOWNER Frank Smaw �CONTR. OCATION (A.P. 28-17-79 ) to/s Swedes Flat Rd, a mi. W. of Robinson + Mill Rd, Oroville i Y. Temp. Power Pole Called PG&E ~ Temp. Elec. Serv. Called PG&E 444 Temp. Gas Serv. ed P 1 JOB / u FINALED _ (Date) (Signature) - Idle -,Op- TO: Building Department FROM: Snvironmental Health RE : Sewage and/or ;pater Clearance Oeli�t h LOCATIOi�, A .P# Has been a -Proved for: S?,4AGDISPOSALV ,"DATER SUPPLY i Sanitarian ate S95-775 4. Connect one lead of a test instrument to the mobilehome-grounding- conductor and apply the other lead to each mobilehome supply conductor, including neutral. 5. All non-current, carrying -metal parts of the mobilehome (aluminum siding, gas line, water line), including fixtures and appliances, shall be tested for continuity from such equipment and the grounding conductor: 6. Upon completion of the above procedure, the power supply cord or feeder assembly conductors shall be connected -to the site service equipment. A further continuity test shall then be made between the grounding electrode and the chassis of the mobilehome. Upon satisfactory completion of the electrical tests, the lot or site service equipment may be approved for energizing. Is job card sighed by Health Department 'for water and sanitation? 11..If everything okay, sign off card and tag services. . �1OBE gH0L1E DATA f klar_ufacturer and/or Namestyre Length Width Vehicle Serial No._5 113D y 1 3 vS i.State I3entification No.C�G Eldditional Information or Comments: 'n, 9. Electrical A. Is service large enough to provide adequate amperage-to'mobilehome (must equal rating 6f- 1. mobilehome with a minimum of 00 amp) and other facilities on lot, i.e., water pumps, -ara-e,. cabana, etc.? Yes f/ No B. Is To g, there proper clearances around panels? Yesby C. Is power supply cord or feeder assembly properly fused? Yes - No D. Is continuity test satisfactory as per the following procedure? Yes - No 1. De -energize electrical wiring system of the mobilehome at the pedestal. 2. Make sure that the power supply cord or feeder assembly conductors, including neutral i- conductor, have been disconnected. 3. Switch all breakers and switches in the mobilehome to the "on' position. 4. Connect one lead of a test instrument to the mobilehome-grounding- conductor and apply the other lead to each mobilehome supply conductor, including neutral. 5. All non-current, carrying -metal parts of the mobilehome (aluminum siding, gas line, water line), including fixtures and appliances, shall be tested for continuity from such equipment and the grounding conductor: 6. Upon completion of the above procedure, the power supply cord or feeder assembly conductors shall be connected -to the site service equipment. A further continuity test shall then be made between the grounding electrode and the chassis of the mobilehome. Upon satisfactory completion of the electrical tests, the lot or site service equipment may be approved for energizing. Is job card sighed by Health Department 'for water and sanitation? 11..If everything okay, sign off card and tag services. . �1OBE gH0L1E DATA f klar_ufacturer and/or Namestyre Length Width Vehicle Serial No._5 113D y 1 3 vS i.State I3entification No.C�G Eldditional Information or Comments: " MOBILEHOME INSTALLATIOy INSPECTION CHECK LIST 1.. Is the mobilehome located wit -required separation from lot lines and buildings and generally conform to plot plan? Yes No 2. Does the mobilehome have required clearances above ground? (Sec. 5085) Yes!/ No Are footings and supports properly sized, spac and braced as pe approved -plans? (Note possible variation at spring shackles.) (Sec 5082 & 5083) Yes No Is the mobilehome level? (Sec. 5088) Yes No If mo than a single unit, are crossover connections properly installed? (Sec. 5088) Yes No Water A. Is flexible connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566) Yes t/ No B. Test - Does water piping withstand working pressure or 50 lbs. air test? Yes" No C. Backflow - If coach is not State ofCalifornia approved, does station have backflow device and pressure -relief valve? Yes No 7. Wastes and Drains` A. Is connection made with Schedule 40 DWV and have flex connectors at each end? Yes 4`No B. Does it have minimum" per foot slope.and is it properly supported? Yes// No C. Are any leaks detected in drainage system after running 3-g lons of water through each fixture including washing machine standpipe? .Yes No . D. If coach is not State ofaliforni approved, does station have required trap and vent? Yes No 8. Gas Piping and Gas Vents A. Connector - Is mobilehome connected to the gas supply with an approved 3/4" minimum mobilehome-connector not more than 6 ft. long? Note: All piping is to be at least as large as the mobilebome gas line inlet without reductions other than the mobilehome connector. Yes No B. Test OK as per following procedure? Yes Ll eo 1. Open all appliance connector valves. 2. Shut off appliance burner and pilot valves. 3. Air test with manometer to 10"-14" water column, or test with slope gauge (minimum 6oz.-maximum 8 oz.) calibrated in tenth pound increments_. Test:for 10.min. without drop. 4. Connect gas meter to mobilehome with connector, turn on gas, test conr_ections with soapy water. C. Are all appliance vents properly installed? Yes I,-<10. COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING, .(Cont'd) PLUMBING Setback > —d-- Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwall Siding To out Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Garage Vents Water Htr. Stemwall Slab Prov. for physically handicapped Heaters Appliances Carport Footings Conformance of ex. structure Gas Piping & Test Temp. Gas Slab Final S Sanitation Patio FIREPLACE Final 10 Footings Footing Masonry Walls Throat Rough Reinf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS Motors Framing Test Water Htr. Stucco Final Subpanels Mesh MECHANICAL Grd. Fault Pri Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Under roup Interior Lath Ventilation Permanent Door Closer Final I Fin5e4 DATE REMARKS OR CORRECTIONS ELECTRICAL i7 -4 ---7, '-COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT Receipt Receipt No. 0 4 :7,2 1-Z6 - 7(,White-D.P.W. – Yellow -Assessor – Pink -Inspector – Goldenrod -Applicant wilding permit expires Date BUILDING Owner k. SQ. FT. OCC. BUILDING VALUATION Mailing Address 1 Telephone No. Fireplace ' Contractor [+ do e �( C'/, Total Valuation Mai I ing Address d d Permit Fee Plan Checki ng Fee &/or Penalty Tehl(o' [[ Permit Fee Building Address PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 / . , IN Repair drainage or vent piping 1.50 Water piping 1.50 �7 n OF Ro31 ✓) Som _V/4.L ,C le 0 U/[.4_63' Each gas water heater or vent 1.50 ' l -7 0 - 0 .7.q_ O A. P. No. ®� \ Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fee yrc. I SanotateeR Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Map 60' R/W Improvements Lawn sprinkler system 2.00 Bldg. ans Recd Parcel royal Plans proval Permit Fee $ $ NEWElADDITION , UTILITIES ❑ OTHER PT ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 u !1 Main service incl. 1 meter t� _ 7-1 Additional meters, each 1.00 Sub -panel (12 or less) (more than 12) Single Family 0 Duplex ❑ Mobil Home rL.0 Others 1-1Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures b (d2 Receps., switches & fix outlets CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & rofes ions Code and r the name style, of: K t2 D r Cf Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap, cooler, gar, disp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 ��/s3 _ f License No. � Classification Misc. wiring ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit ,is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee. � $ 4 $ - -� I certify that I have read this application and state that the above information is correct. I agree to comply to all County OrdinancesOTAL and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X - Date Sigature of Permitee or Agint PERMIT FEE $ Z' This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR 0 UBLIC WORKS � Zto 7 1— Receipt Receipt No. 0 4 :7,2 1-Z6 - 7(,White-D.P.W. – Yellow -Assessor – Pink -Inspector – Goldenrod -Applicant wilding permit expires Date � ll SAll 01 1 1 fld1vn0� wt- 7vCounty Center Drive, Oroville, California PHONt : .534 -4541 T.nnaHn MOBILEHOME INSTALLATION INFORMATION M rt r; M fD rt O rt U K W C M E w 14, Lot Facilities Mobilehome Data H' O .1. Plot plan dimensioned, location of mobile 1. Length Width z and util ty connections? Manufacturer — (� Yes No Vehicle Serial No. 13 p i y 2. Electrical. service equipment ampacitY L L) Insignia Control No . 2CE (2,S G1 �2e612.6 K H Circuit breaker ampacity 2. Feeder assembly amp acity h C Permanent Wiring Connection to n Conduit size Ampacity (Q C, Power supply cord (amps) Receptacle Ampacity_ 3. Gas inlet size s 3. Gas:. Natural LPG // Mobilehome connec or size Gas riser size 3 Capacity. 4. Drain inlet size 4. Drain connector: describe on reverse side 5. Vlater riser size 5. Water connector: describe on*reverse side 6. Are utility connections located outside 6. Designed loads: the rear 1/3 of the mobilehome within Roof live load 061�1 psf. 4 feet of the left w,;ill? Yes_ No Wind load . /.5_psf. If not; show dimensions. above. (only for mobilehomes manufactured after 7. -Is the mobilehome•clea of septic tank, October 7, 1973) leach fields and located outside public 7. Manufa .turer's installation instructions? utility easements? Yes V No Yes v No 8. Do you propose to do other work on the g, Will the mobile home be installed on a... property other than the mobilehome separate suppo'rt/structure? installation �ah�a�11 will require a permit � yes No l/ Yes No �� If so, specify *For plans and specifications of..support system, see other side. LOAD BEARING SUPPORTS :s A� r 5,6 eA 81d ADDITIONAL COML1i4';TS Drain Connector, Describeg __>CAedct qt> c W, c) /inn\1�rF Wate` Connector, Describe 5 !/- LOAD BEARING SUPPORT AND TOOTING INFORMATION Pier_ Spacing Used 54( e /C Maximum Pier Load !� 44 "11171 Maximum Column Load (multi -units only) Soil Bearing Capacity /D Footing Dimension Used 2 A TYPE OF PIER. USED Steel Concrete Concrete Block Other TYPE OF FOOTING MAT_AIAL USED Pressure Treated Flood 0 Concrete Redwood (Grade). Other Approved Type �vosot evzc�S' BUTTE COUNTY BUILDING DEPARTMENT APPROVED 14 COUNTY OF BUTTE P&OAhTMENT OF PUBLIC W R 7 County Center Drive — Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT all LHOfLe represenrauves of the County of Butte to enter upon the above-mentioned property for inspection purposes. Signature of PeimmiQitee or Agent Receipt No.l;AXU8 . White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECT F PUBLIC WORKS By Date—��i-7,S' %- ilding permit expires Date ........................................ BUILDING Owner S /v/ g SQ. FT. OCC. BUILDING VALUATION Mai I i ng Address Q PIME MZb b A10No. Telephone S' 9�08 Fireplace Contractor- O W /YF_,%+'. Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ Building Address zFbFS7 PLUMBING No.1 @ FEE PERMIT FILING FEE $2.00 ` �%i 1 ©� l\�iS>KSd •Y rni4,4. Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No % a i nin Gas piping system 1 - 5 outlets 1.50 (7 Each additional outlet .30 Ftesl V1SaI4191tion I FireDept. FireZone Use Permit Building sewer 5.00 , EQA Parking Plans I Parcel Declaration Parcel Ma P 60' R/W Im prov ents Lawn sprinkler system 2.00 Bldg. P ns Recd Parce l pprova Pla Approval Permit Fee $ Qo $ To— Fin NEW ❑ ADDITION ❑ UTILITIES OTHER ❑ ELECTRICAL No.1 @ I FEE PERMIT FILING FEE $3.00 3, 0 (7 Main service incl. 1 meter Q Q Additional meters, each 1.00 Single Family ❑ Duplex ❑ Mobil Home,K Others ❑ Sub -panel (12 or less) (more than 12) Range, Cook -top or Oven 1.00 / Water Heater or Space Heater 1.00 Light fixtures bal�?0 Receps., switches & fix outlets CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Hood, Ex. FanorF.A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump P zQ Mobil Home Facil ties 5.00 ,D Temp. Power Pole 5.00 License No.Misc. Classification wiring i ZI am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ �Z WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑ I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. 1701 I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of Cal i forni a. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby TOTAL PERMIT FEE $ all LHOfLe represenrauves of the County of Butte to enter upon the above-mentioned property for inspection purposes. Signature of PeimmiQitee or Agent Receipt No.l;AXU8 . White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECT F PUBLIC WORKS By Date—��i-7,S' %- ilding permit expires Date ........................................ E.H. USE ONLY Plot Plan Anechd -7— Floor Plan Ansc9ad Sent to B.D. 11000T( Cal" �y/ TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance Owner Location AP# Plan Approved for: Sewage Disposal Water Supply: Public Private Well ,/ Clearance for dwelling. Other Hold final for: e— Final clearance O.K. for: NOTE: Environmental 8/96 Specialist .51 152ezl-5 ---SITE PLAN, Lla;�10,,l - -- .............................-..... +�:.1 �Ti?Ur✓�'UF ES: �aI D :�G�(:,�� u.t=�•I• L>CI:UI�rAt& _ _ . �ic+r_crwct�n r+:I \: I r �. C r 1 .. iA 2i= �R; o/ tc,. n :. 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FOR OFFICE USE ONLY Zoning: General Plan Desig: Size, Acres 4.00" PROVIDE FOR ALL ADJACENT PARCELS SIZE (AC): ZONING: GEN PLAN: USES: SITE PLAN. PP............. ._ .. ._ .. .. .. ... ............. ... .. .. ............. .. ............. ............ .. Fz 8F11LDII+IG - , LANAPPROVAL.. YAWL• i� Y' .. ... __ ....;.. .. -.: Landatap(^_ .. _ .. .. ..�..<..... ..u�@. 'VW�� .. .. .. .......... - - ear' - - - :i .. .. B .. .. -. .. :. ............ .. .. : ...... ...... ......_....._..........._..............................:......:.....:..................... .. .. .. .. ............. .. -•_ . .. .. .._ .. ............ . ............ .. ............. .. .. .. .. .............................. .. ............. .._.. .. .._.................... ... _. D .... �... ... ............ ... .. .. ... ............ ................... .. ... .. .. .. ._ ... .. . ,, - _ X 5 ... .. .. _- .. ........ ... ................�.. .. . - }•. \ I j �a pp .. .. ... .. ... .. .. ... .. .. ... .. T� .. 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